Individual
AINSLIE FAITH BOUTOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 REMSON CT, CHARLOTTESVILLE, VA 22901-3508
(434) 284-5720
Mailing address
3500 REMSON CT, CHARLOTTESVILLE, VA 22901-3508
(434) 284-5720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001770
VA
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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