Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRA-LYNN BOUDJOUK, CCC-SLP
ActiveJERRA-LYNN BOUDJOUK, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1033201371 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1033201371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2006 (19.835329325056 yrs)
- Last Updated
- Dec 10, 2025
- License
-
7510 (MN)
Practice Information
- Address
-
1250 W BROADWAY AVEMINNEAPOLIS, MN, 554112533Browse MN providers · Browse ZIP 55411
- Phone
- 6126682000
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| SHEILA RENEE CLARK | CCC | 1720094253 |
| MRS. ERICA JEAN DICKERSON | MA CCC SLP | 1144334939 |
| MR. JAMES GREGORY SCHUMACHER | M.S., CCC-SLP | 1124132857 |
| STEVEN ROBERT KOSEK | MS, CCC-SLP | 1205943230 |
| DON L MACLENNAN | M.A. | 1568564474 |
| ANN M ROEHRIG | MA, CCC-SLP | 1508968439 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.