MS. Victoria Lynn Broussard, LPT

NPI #1770624090 in Baldwin Park, California

Provider Information

NPI Number
1770624090
Entity Type
Individual
Name
MS. Victoria Lynn Broussard, LPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Psychiatric Technician
Credential
LPT
Enumeration Date
Feb 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4600 BRESEE AVE
ZIP Code
91706-2414
Phone
(626) 337-0747

Specialties & Taxonomy Codes

Specialty
Licensed Psychiatric Technician

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