Individual provider · Type 1 NPI
Dia Boutwell, PhD
Clinical Psychologist · Fayetteville, GA
Practice location
125 Howard Ln Ste B
Fayetteville, GA 30215-1853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY004367 (GA) |
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 1740757731
Dia Boutwell, PhD's National Provider Identifier is 1740757731, issued on Oct 27, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fayetteville, GA. The record was last updated on Feb 21, 2020.