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Andrea Boutwell, ST
Speech-Language Pathologist in Tifton, Georgia
NPI 1891815049

Andrea Boutwell is a Speech-Language Pathologist based in Tifton, GA. Andrea Boutwell practices in Tifton, GA and has the professional credentials of ST. The NPI Number for Andrea Boutwell is 1891815049 and holds a License No. SLP006592 (Georgia).

The current practice location address for Andrea Boutwell is 901 18Th St E, Tifton, GA and can be reached out via phone at 229-353-3347 and via fax at 229-353-7722.

Location: 901 18Th St E, Tifton, GA, 31794-3648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891815049
Provider Name
Andrea Boutwell
Credential
ST
Provider Entity Type
Individual
Gender
Female
Address
901 18Th St E, Tifton, GA, 31794-3648
Phone Number
229-353-3347
Fax Number
229-353-7722
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SLP006592 01 GA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
901 18Th St E
City
Tifton
State
Georgia
Zip
31794-3648
Phone Number
229-353-3347
Fax Number
229-353-7722
person
Provider Business Mailing Address Details
Address
901 18Th St E
City
Tifton
State
Georgia
Zip
31794-3648
Phone Number
229-353-3347
Fax Number
229-353-7722
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
SLP006592 (Georgia)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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