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GERARD E. BOUTIN PHD PA NPI 1124366364


NPI Information

NPI: 1124366364
Provider Name: GERARD E. BOUTIN PHD PA
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
13787 BELCHER RD S
140
LARGO, FL
ZIP 33771
Phone: (727) 452-5083
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GERARD E. BOUTIN PHD PA is a clinical psychologist in Largo, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. GERARD E. BOUTIN PHD PA NPI is 1124366364. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13787 BELCHER RD S
140
LARGO, FL
ZIP 33771-065
Phone: (727) 452-5083

The provider's authorized official is Gerard E. Boutin .
The authorized official title is President and has the following contact phone number (727) 452-5083.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 1/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPY0002716FLORIDANo
2103TC2200XPsychologistClinical Child & AdolescentPY0002716FLORIDANo
3103TC0700XPsychologistClinicalPY0002716FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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