TAMARA M VANDENBROUCKE SLPA NPI 1003447996

Specialist/Technologist (Speech-Language Assistant) in Tarzana, CA

Individual Female Specialist/Technologist Speech-Language Assistant

About TAMARA VANDENBROUCKE

Tamara Vandenbroucke is a provider established in Tarzana, California and her medical specialization is specialist/technologist. The NPI number of Tamara Vandenbroucke is 1003447996 and was assigned on January 2020. The practitioner's primary taxonomy code is 2355S0801X with license number 5973 (CA). The provider is registered as an individual and her NPI record was last updated January 2020.

NPI

1003447996

Provider Name TAMARA M VANDENBROUCKE SLPA
Provider Location Address5567 RESEDA BLVD STE 107 TARZANA, CA 91356
Provider Mailing Address13047 MOORPARK ST APT 2 STUDIO CITY, CA 91604
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-29-2020
Last Update Date01-29-2020

Primary Taxonomy

Taxonomy Code2355S0801X
ClassificationSpecialist/Technologist
TypeSpeech, Language and Hearing Service Providers
SpecializationSpeech-Language Assistant
License No.5973
License StateCA

Business Address

TAMARA M VANDENBROUCKE SLPA
5567 RESEDA BLVD STE 107
TARZANA, CA
ZIP 91356
Phone: (909) 837-8029

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Mailing Address

TAMARA M VANDENBROUCKE SLPA
13047 MOORPARK ST APT 2
STUDIO CITY, CA
ZIP 91604
Phone: (909) 837-8029

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023562097 ROBERT BENITEZ JR.
Individual
Specialist/Technologist (Speech-Language Assistant)5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1083268817MRS. CHRISTINA LOUISE HAROLD
Individual
Specialist/Technologist (Speech-Language Assistant)5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1205490109 SEAN ALAN WYNER MS, SLP-CF
Individual
Speech-Language Pathologist5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 274-8062
1316433584 KATHLEEN LAO
Individual
Specialist/Technologist (Speech-Language Assistant)5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1326531963 KELLY BROWN
Individual
Speech-Language Pathologist5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1417264599MS. ERIKA M LOPEZ SLPA, M.ED
Individual
Specialist/Technologist (Speech-Language Assistant)5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1447732201 KATARINA DAHLIN SLP
Individual
Speech-Language Pathologist5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1548415581MRS. CHRISTIE NICOLE SFORZINI CCC-SLP
Individual
Speech-Language Pathologist5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(805) 501-3218
1619475498 SHIRIN MONICA AZADEH
Individual
Community/Behavioral Health5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1659738177 ALYSA FERRANTE
Individual
Specialist/Technologist (Speech-Language Assistant)5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1770049736 NATALIE MEG SUMIAN
Individual
Specialist/Technologist (Speech-Language Assistant)5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 455-3003
1770079360 MELLISA SUAZO
Individual
Specialist/Technologist (Speech-Language Assistant)5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1831556893 KRISTINA MELLIBOSKY
Individual
Speech-Language Pathologist5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337
1942606595 SHANNON STEVENS
Individual
Specialist/Technologist (Speech-Language Assistant)5567 RESEDA BLVD STE 107
TARZANA, CA 91356
(818) 968-2337

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.