Lookup NPI Numbers from the NPI Registry
NPI Profile for TAMMY BROUSSARD in SALLISAW, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1225233646 |
|
| Status | Active | |
| Credentials | M.S., LPC | |
| Entity | Individual | |
| Enumeration date | 06/16/2007 | |
| Last updated | 07/16/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TAMMY BROUSSARD
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TAMMY BROUSSARD, M.S., LPC