JOHANNA BOULT PHD
NPI 1164804423
Speech-Language Pathologist in Shreveport, LA

Q: What is the provider's specialty?

The provider's specialty is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since June 23, 2015

1450 CLAIBORNE AVE, SHREVEPORT, LA 71103(318) 813-2970(318) 813-2981 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Johanna Boult Phd NPPES

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

JOHANNA BOULT PHD (NPI 1164804423) is an individual speech-language pathologist provider in Shreveport, Louisiana, licensed in Louisiana (4477) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1164804423

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJOHANNA BOULTCredential: PHD

Location Address1450 CLAIBORNE AVEShreveport, LA 71103-4204

Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 813-2970 · Fax (318) 813-2981

Phone(318) 813-2970

Fax(318) 813-2981

Sole ProprietorNo

Enumeration DateJune 23, 2015

✔ NPI 1164804423 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 LA · 4477

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.

1450 CLAIBORNE AVE, Shreveport, LA 71103

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