Morgan Boudreaux Angevine, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Ruston, LA

NPI 1831088129 · NPPES record last updated Jul 1, 2025

Key facts

NPI
1831088129
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
1603 Goodwin Rd
Ruston, LA 71270-2907
Phone
(318) 255-7550
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Building Futures Speech-Language Pathologist Past
since Jul 9, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

1603 Goodwin Rd
Ruston, LA 71270-2907

Mailing address

1603 Goodwin Rd
Ruston, LA 71270-2907
Phone (318) 255-7550

Other providers in Ruston, LA

All providers in Ruston, LA · Speech-Language Pathologist in Louisiana

Sources for this page

Verify at the official NPI Registry.