Organization · Type 2 NPI

Gerard E. Boutin PHD PA

Clinical Psychologist · Largo, FL

NPI number 1124366364 Active

Practice location

13787 Belcher Rd S, 140
Largo, FL 33771-4065

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XPY0002716 (FL)
Clinical Psychologist Primary 103TC0700XPY0002716 (FL)
Clinical Child & Adolescent Psychologist 103TC2200XPY0002716 (FL)

Clinical Psychologist: 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 discip…

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About NPI 1124366364

Gerard E. Boutin PHD PA's National Provider Identifier is 1124366364, issued on Jan 23, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Largo, FL. The record was last updated on Jan 23, 2013.