Johanna Boult, PHD in Shreveport, LA

Johanna Boult, PHD is a medicare enrolled "Speech-language Pathologist" provider in Shreveport, Louisiana. Her current practice location is 1450 Claiborne Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 813-2970.

Johanna Boult is licensed to practice in Louisiana (license number 4477) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164804423.

Contact Information

	Johanna Boult, PHD
	1450 Claiborne Ave, Shreveport, LA 71103-4204
	(318) 813-2970
	(318) 813-2981

Map and Direction

Healthcare Provider's Profile

Full Name	Johanna Boult
Gender	Female
Speciality
Experience	Years
Location	1450 Claiborne Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Johanna Boult attended and graduated from in

NPI Data:

NPI Number: 1164804423
Provider Enumeration Date: 06/23/2015
Last Update Date: 06/23/2015

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Johanna Boult such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164804423	NPI	-	NPPES
1174173	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4477 (Louisiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johanna Boult is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Johanna Boult, PHD 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 813-2970	Johanna Boult, PHD 1450 Claiborne Ave, Shreveport, LA 71103-4204 Ph: (318) 813-2970

Reviews and Comments

Speech-Language Pathologist in Shreveport, LA

Elinor Dorsey Baker, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2226 Murphy St, Shreveport, LA 71103 Phone: 985-630-4052
Elizabeth Schafehen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Buckner St Ste C249, Shreveport, LA 71101 Phone: 318-934-1969 Fax: 318-934-1960
Mrs. Susan Elizabeth Zavalydriga, MA, CCC-SP. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 N Dresden Cir, Shreveport, LA 71115 Phone: 318-798-3925
Sara Kate Warren, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2522 E 70th St., Shreveport, LA 71105 Phone: 318-795-3388
Macy Floyd, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2226 Murphy St, Shreveport, LA 71103 Phone: 318-603-6700
Joan Williams, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5609 Cross Timbers Dr, Shreveport, LA 71129 Phone: 318-670-9710 Fax: 318-227-9142
Mrs. Kelsey Bazzell Rowell, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7709 Tampa Way, Shreveport, LA 71105 Phone: 318-415-9298

Johanna Boult, PHD - Medicare Speech-Language Pathologist in Shreveport, LA