Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LANA I. BOUTACOFF, PHD, LP

Active Sole Proprietor

DR. LANA I. BOUTACOFF, PHD, LP is a Psychologist healthcare provider located in SAINT PAUL, Minnesota. NPI 1437213469 is currently active in the NPPES registry. Verify at CMS.

Psychologist · SAINT PAUL, MN

Registration Details

NPI Number: 1437213469
Provider Type: Individual
Gender: Female
NPI Issued: Dec 21, 2006 (19.620772626389 yrs)
Last Updated: Jul 8, 2007
License: LP2623 (MN)
Sole Proprietor: Yes

Practice Information

Address: 570 ASBURY ST

SUITE 104

SAINT PAUL, MN, 551041849
Browse MN providers · Browse ZIP 55104
Phone: 6516457318
Fax: 6516450974
Primary Specialty: Psychologist
103T00000X

Other Psychologist Providers in SAINT PAUL, MN

Name	Credential	NPI
DR. KATE BOYLE	PSY. D, L.P.	1659370278
DR. VIRGINIA ANNETTE VOGEL	PSYD, LP	1790784403
DR. YVONNE FERNANDEZ NOBLES	PSY D., L.P.	1659371318
DR. PAMELA JOY HENDERSON	PSYD, LP	1538169628
DR. ROBERT ALAN MANTELL	PHD, L.P.	1750381760
DR. MARK P HANSEN	PH.D.	1972588473

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.