Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Carolyn Elizabeth Boudreaux, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1558536342

MS. Carolyn Elizabeth Boudreaux, MA, CCC-SLP is a Speech-Language Pathologist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Louisiana and Maryland.

Licensed in
LA, MD
In the registry since
2008
Specialties on file
2
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.

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Practice location Address checks out

2900 Charlevoix Dr SE Ste 200
Grand Rapids, MI 49546-7085
Phone: (800) 325-8064
Fax: (800) 325-1326
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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 05663 (MD)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 5657 (LA)

Record details

NPI number1558536342
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedApril 23, 2008
Last updated in NPPESApril 23, 2008

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