Individual
DR. GERARD E BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
13787 BELCHER RD S STE 140, LARGO, FL 33771-4065
(727) 518-7394
(727) 584-4937
Mailing address
13787 BELCHER RD S STE 140, LARGO, FL 33771-4065
(727) 452-5083
(727) 584-4937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2716
FL
Other
Enumeration date
02/23/2007
Last updated
10/15/2019
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