Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIA BOUTWELL, PHD
Active Sole ProprietorDIA BOUTWELL, PHD is a Clinical Psychologist healthcare provider located in FAYETTEVILLE, Georgia. NPI 1740757731 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1740757731
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2018 (7.760542393337 yrs)
- Last Updated
- Feb 21, 2020
- License
-
PSY004367 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 HOWARD LN STE BFAYETTEVILLE, GA, 302151853Browse GA providers · Browse ZIP 30215
- Phone
- 5028674851
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN CHARLES SNOOK | PH.D. | 1326013855 |
| DR. JONATHAN D. HAUSER | PHD | 1730102245 |
| DR. ANNA N. HERRINGTON | PH.D. | 1174631964 |
| DR. SUSAN HUGHES MAY | PH.D. | 1336200229 |
| DR. LOUIS P. ANDERSON | PHD | 1982846671 |
| SANDRA V HEINSZ | PHD | 1427372119 |
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.