Boudreaux, Carolyn Elizabeth

Boudreaux, Carolyn Elizabeth is an sole proprietor health care provider with primary practice located at 2900 Charlevoix Dr Se Suite 200, Grand Rapids MI 49546-7085. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boudreaux, Carolyn Elizabeth can be contacted via phone (800) 325-8064.

Contact Information

Primary practice address
2900 Charlevoix Dr Se Suite 200 Grand Rapids MI 49546-7085
Phone: (800) 325-8064
Fax: (800) 325-1326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 05663 Maryland
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5657 Louisiana

Profile Details

NPI number 1558536342
LBN Legal business name Boudreaux, Carolyn Elizabeth
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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