1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Speech Language Pathologist
  6. NPI Profile

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: August 16, 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
Phone(612) 668-2000
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
Open in Google Maps ↗

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.

ERIN NAYLOR PRONLEY LICSW
Social Worker
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 668-1300
SARAH FREEBERG OLSON
Social Worker (Clinical)
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 596-0696
CHRISTINE CHEN
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 668-0254
LAURA VICK
Occupational Therapist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 668-0254
WENDY LEE
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 668-0254
RACHEL HAMMER
Social Worker
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (608) 617-1931
JOLANA LYNN BERNHARDT OTR/L
Occupational Therapist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 987-4259
MARGARET MARY DERING
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 668-0254

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.