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Active NPI 1033201371 Individual Practitioner Female Practitioner

Jerra-Lynn Boudjouk , CCC-SLP

Speech-Language Pathologist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Jerra-Lynn Boudjouk, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Minneapolis, MN. Practice services are available at 1250 W BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1250 W Broadway Ave

Minneapolis, MN 554112533

Telephone 6126682000
Associated Practice Facility / Clinic
🏢 Special School District #1 Facility NPI 1619053378

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
346 Specialists

Practicing in Minneapolis, MN (3097 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 7510

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003761958

Licensed Independent Clinical Social Worker

Sarah Freeberg Olson

Social Worker - Clinical

NPI 1003764838
Christine Chen

Speech-Language Pathologist

NPI 1003769316
Laura Vick

Occupational Therapist

NPI 1003779240
Wendy Lee

Speech-Language Pathologist

NPI 1013860337
Rachel Hammer

Social Worker

NPI 1013862200

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 10, 2025

Registered at 1250 W BROADWAY AVE, MINNEAPOLIS, MN 554112533 (Tel: 6126682000)

📍
Updated Business Mailing Address December 10, 2025

Registered at 1250 W BROADWAY AVE, MINNEAPOLIS, MN 554112533

NPI Profile Active May 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2011

Registered at 6312 45TH ST N, OAKDALE, MN 551282403 (Tel: 6517772181)

📍
Updated Business Mailing Address May 03, 2011

Registered at 6312 45TH ST N, OAKDALE, MN 551282403

👤
Provider Name / Credentials Updated May 03, 2011

Recorded as JERRA-LYNN BOUDJOUK, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2011

Speech-Language Pathologist (License #7510 in MN)

🟢
Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1033201371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: December 10, 2025
Sole Proprietor: No

Mailing Address

1250 W Broadway Ave

Minneapolis, MN 554112533

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.