Individual provider · Type 1 NPI

Carolyn Elizabeth Boudreaux, M.A., CCC-SLP

Speech-Language Pathologist · Grand Rapids, MI

NPI number 1558536342 Active

Practice location

2900 Charlevoix Dr SE, Suite 200
Grand Rapids, MI 49546-7085

Call (800) 325-8064 Map

Fax (800) 325-1326

Mailing address

1748 E Hermitage St
Gonzales, LA 70737-4914

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X05663 (MD)
Speech-Language Pathologist 235Z00000X5657 (LA)

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 1558536342

Carolyn Elizabeth Boudreaux, M.A., CCC-SLP's National Provider Identifier is 1558536342, issued on Apr 23, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 23, 2008.