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

MS. CAROLYN ELIZABETH BOUDREAUX, M.A., CCC-SLP

Active Sole Proprietor

MS. CAROLYN ELIZABETH BOUDREAUX, M.A., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1558536342 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · GRAND RAPIDS, MI

Registration Details

NPI Number: 1558536342
Provider Type: Individual
Gender: Female
NPI Issued: Apr 23, 2008 (18.265319157816 yrs)
Last Updated: Apr 23, 2008
Licenses: 05663 (MD)

5657 (LA)
Sole Proprietor: Yes

Practice Information

Address: 2900 CHARLEVOIX DR SE

SUITE 200

GRAND RAPIDS, MI, 495467085
Browse MI providers · Browse ZIP 49546
Phone: 8003258064
Fax: 8003251326
Primary Specialty: Speech, Language and Hearing Specialist
235Z00000X
Additional Specialty: Speech, Language and Hearing Specialist

Other Speech, Language and Hearing Specialist Providers in GRAND RAPIDS, MI

Name	Credential	NPI
DR. MARJORIE PENNING	PH.D.C.C.C.SLP	1912933896
MS. CYNTHIA SEFCIK	MS CCC-SLP	1336213131
MRS. REBECCA LYNN MARTIN	MA CCC SLP	1528119005
MRS. BRENDA JOY HAAKSMA	M.A., CCC-SLP	1285857227
KATHERINE DEVRIES	M.A. CCC-SLP	1003023938
MISS JACKIE MARIE CONFER	CCC-SLP	1144439357

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.