Individual
DR. LYNN ROBERT BOUTILIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 786-7200
(775) 328-1718
Mailing address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 786-7200
(775) 328-1718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0220
NV
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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