DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHANNA BOULT, PHD

Active

JOHANNA BOULT, PHD is a Speech, Language and Hearing Specialist healthcare provider located in SHREVEPORT, Louisiana. NPI 1164804423 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · SHREVEPORT, LA

Registration Details

NPI Number
1164804423
Provider Type
Individual
Gender
Female
NPI Issued
Jun 23, 2015 (11.115118382138 yrs)
Last Updated
Jun 23, 2015
License
4477 (LA)

Practice Information

Address
1450 CLAIBORNE AVE
SHREVEPORT, LA, 711034204
Browse LA providers · Browse ZIP 71103
Phone
3188132970
Fax
3188132981
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in SHREVEPORT, LA

Name Credential NPI
MERRIE G PENDERGRASS SLP 1063435451
HEATHER K ANDERSON SLP 1629092986
DAVID L IRWIN SLP 1194749499
THOMAS W POWELL SLP 1801810130
SANDRA L HAYES SLP 1497779797
MICHAEL D MCGILL SLP 1891719118
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.