Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Boutwell, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639629900

Jennifer Boutwell, MA, CCC-SLP is a Speech-Language Pathologist in Randleman, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

204 E Naomi St
Randleman, NC 27317-1844
Phone: (336) 267-9046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP21639 (NC)

Record details

NPI number1639629900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 10, 2016
Last updated in NPPESOctober 10, 2016

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