Broussalian, Shannon

Broussalian, Shannon is an individual health care provider with primary practice located at 11150 Bertrand Ave , Granada Hills CA 91344-4005. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Broussalian, Shannon can be contacted via phone (818) 915-1966.

Contact Information

Primary practice address
11150 Bertrand Ave Granada Hills CA 91344-4005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP17445 California

Profile Details

NPI number 1538657101
LBN Legal business name Broussalian, Shannon
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2018
Last updated Apr 28th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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