TAMARA M VANDENBROUCKE SLPA NPI 1003447996

NPI Information

  • NPI: 1003447996
  • Provider Name: TAMARA M VANDENBROUCKE, SLPA
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 5567 RESEDA BLVD STE 107
    TARZANA, CA
    ZIP 91356
  • Phone: (909) 837-8029

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NPI Details

Tamara M Vandenbroucke, SLPA is a speech-language assistant specialist technologist in Tarzana, CA. Tamara M Vandenbroucke, SLPA NPI is 1003447996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5567 RESEDA BLVD STE 107
TARZANA, CA
ZIP 91356-648
Phone: (909) 837-8029

The enumeration date for this NPI number is 1/29/2020 and was last updated on 1/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12355S0801XSpecialist/TechnologistSpeech-Language Assistant5973CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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