Organization
BEHAVIORAL HEALTH PRACTITIONER'S, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD E BOUTIN PH.D. (PRESIDENT)
(727) 518-7294
Entity
Organization
Contact information
Practice address
1301 SEMINOLE BLVD, B-112, LARGO, FL 33770-8124
(727) 518-7294
(727) 584-4937
Mailing address
1301 SEMINOLE BLVD, B-112, LARGO, FL 33770-8124
(727) 518-7294
(727) 584-4937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2716
FL
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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