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Dia Boutwell, PHD
Clinical Psychologist in Fayetteville, Georgia
NPI 1740757731

Dia Boutwell is a Clinical Psychologist based in Fayetteville, GA and is specialized in Clinical. Dia Boutwell practices in Fayetteville, GA and has the professional credentials of PHD. The NPI Number for Dia Boutwell is 1740757731 and holds a License No. PSY004367 (Georgia).

The current practice location address for Dia Boutwell is 125 Howard Ln Ste B, Fayetteville, GA and can be reached out via phone at 502-867-4851.

Location: 125 Howard Ln Ste B, Fayetteville, GA, 30215-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740757731
Provider Name
Dia Boutwell
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
125 Howard Ln Ste B, Fayetteville, GA, 30215-1853
Phone Number
502-867-4851
Fax Number
Provider Enumeration Date
10/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Howard Ln Ste B
City
Fayetteville
State
Georgia
Zip
30215-1853
Phone Number
502-867-4851
Fax Number
person
Provider Business Mailing Address Details
Address
125 Howard Ln Ste B
City
Fayetteville
State
Georgia
Zip
30215-1853
Phone Number
502-867-4851
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY004367 (Georgia)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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