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

Individual provider Speech-Language Pathologist · NPI 1164804423

Johanna Boult, PHD is a Speech-Language Pathologist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1450 Claiborne Ave
Shreveport, LA 71103-4204
Phone: (318) 813-2970
Fax: (318) 813-2981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4477 (LA)

Record details

NPI number1164804423
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESJune 23, 2015

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