Shaelyn Broussard

Social Worker · Walla Walla, WA

Individual Active NPI

NPI number 1770051583

Practice location

1710 Plaza Way
Walla Walla, WA 99362-4362
Phone
(509) 529-4218

Open in Google Maps

NPI record

NPI
1770051583
Entity type
Individual (Type 1)
Enumeration date
November 9, 2018
Last updated
November 9, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

Mailing address

223 N College Ave Apt B
College Place, WA 99324-1047

About Shaelyn Broussard

Shaelyn Broussard is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 1710 Plaza Way, Walla Walla, WA 99362-4362. The NPI number 1770051583 was assigned on November 9, 2018 and the record was last updated on November 9, 2018.

Frequently asked questions

What is the NPI number of Shaelyn Broussard?

The NPI number is 1770051583.

What is the phone number of Shaelyn Broussard?

The phone number listed for the practice location is (509) 529-4218.

Where is Shaelyn Broussard located?

1710 Plaza Way, Walla Walla, WA 99362-4362.

What is the taxonomy code for Shaelyn Broussard?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Social Worker providers in Walla Walla

All Social Worker providers in Walla Walla, WA →