Individual provider · Type 1 NPI

Jerra-Lynn Boudjouk, CCC-SLP

Speech-Language Pathologist · Minneapolis, MN

NPI number 1033201371 Active

Practice location

1250 W Broadway Ave
Minneapolis, MN 55411-2533

Call (612) 668-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X7510 (MN)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1033201371

Jerra-Lynn Boudjouk, CCC-SLP's National Provider Identifier is 1033201371, issued on Sep 28, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 10, 2025.