Individual
DR. CATHERINE A BOUTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
710 W 168TH ST, 12TH FLOOR, NEW YORK, NY 10032-3726
(212) 305-6001
Mailing address
710 W 168TH ST, 12TH FLOOR, NEW YORK, NY 10032-3726
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68 021701
NY
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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