Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Broussalian, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1538657101

Shannon Broussalian, MS, CCC-SLP is a Speech-Language Pathologist in Granada Hills, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

11150 Bertrand Ave
Granada Hills, CA 91344-4005
Phone: (818) 915-1966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP17445 (CA)

Record details

NPI number1538657101
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 28, 2018
Last updated in NPPESApril 28, 2018

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