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

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: August 09, 2026.

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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Other Names 1

Former Name (1)Johanna Weddle

Other Identifiers 1

Medicaid1174173LA

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.

CLAIRE MARIE MELEBECK PT
Physical Therapist
1450 CLAIBORNE AVE, SCHOOL OF ALLIED HEALTH
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2961
MRS. EMILY E DENNIS LOTR
Occupational Therapist (Pediatrics)
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2970
JEFFREY WRIGHT
Physical Therapy Assistant
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2970
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Behavior Analyst
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2970
AMANDA CALDWELL
Physical Therapist
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2962
DIANA MERENDINO DPT
Physical Therapist
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2970
JOSE FERNANDEZ PT, DPT
Physical Therapist
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2970
CYNTHIA PAYTON OT, MHS
Occupational Therapist
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2970

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 Johanna Boult's NPI number?

The NPI number for Johanna Boult is 1164804423. It was assigned to this individual provider in the NPPES registry on June 23, 2015. The provider is also known as Johanna Weddle.

Where is Johanna Boult located?

Johanna Boult practices at 1450 Claiborne Ave, Shreveport, LA 71103. The listed phone number is (318) 813-2970.

What is Johanna Boult'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 Johanna Boult was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.