Jerra-Lynn Boudjouk, CCC-SLP
NPI #1033201371 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1033201371
- Entity Type
- Individual
- Name
- Jerra-Lynn Boudjouk, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Dec 10, 2025
Practice Location
- Address
- 1250 W BROADWAY AVE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55411-2533
- Phone
- (612) 668-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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