Individual provider · Type 1 NPI

Emanuel Michael Boutzoukas, PhD

Clinical Neuropsychologist · Tampa, FL

NPI number 1386502953 Active

Practice location

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745

Mailing address

13611 Staghorn Rd
Tampa, FL 33626-2322

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPY13082 (FL)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1386502953

Emanuel Michael Boutzoukas, PhD's National Provider Identifier is 1386502953, issued on Jan 13, 2026. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Tampa, FL. The record was last updated on Jan 13, 2026.