JERRA-LYNN BOUDJOUK CCC-SLP
NPI 1033201371
Speech-Language Pathologist in Minneapolis, MN

Active since September 28, 2006
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411(612) 668-2000 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerra-lynn Boudjouk Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRA-LYNN BOUDJOUK CCC-SLP (NPI 1033201371) is an individual speech-language pathologist provider in Minneapolis, Minnesota, licensed in Minnesota (7510) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1033201371
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJERRA-LYNN BOUDJOUKCredential: CCC-SLP
Location Address1250 W BROADWAY AVEMinneapolis, MN 55411-2533
Mailing Address1250 W Broadway AveMinneapolis, MN 55411-2533
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
NPI 1033201371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MN · 7510
Definition

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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1250 W BROADWAY AVE, Minneapolis, MN 55411

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Social Worker (Clinical)
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Occupational Therapist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Social Worker
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Occupational Therapist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerra-lynn Boudjouk's NPI number?

The NPI number for Jerra-lynn Boudjouk is 1033201371. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jerra-lynn Boudjouk located?

Jerra-lynn Boudjouk practices at 1250 W Broadway Ave, Minneapolis, MN 55411. The listed phone number is (612) 668-2000.

What is Jerra-lynn Boudjouk's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jerra-lynn Boudjouk was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.