| Dia Boutwell, PHD | |
|
125 Howard Ln Ste B, Fayetteville, GA 30215-1853 | |
| (502) 867-4851 | |
| Not Available |
| Full Name | Dia Boutwell |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 125 Howard Ln Ste B, Fayetteville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740757731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY004367 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dia Boutwell, PHD 125 Howard Ln Ste B, Fayetteville, GA 30215-1853 Ph: (502) 867-4851 | Dia Boutwell, PHD 125 Howard Ln Ste B, Fayetteville, GA 30215-1853 Ph: (502) 867-4851 |
Dr. Karen Donna Bisgay-dehan, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779 | |
Dr. Anna N. Herrington, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Governors Sq, Suite D, Fayetteville, GA 30215 Phone: 770-486-9660 Fax: 770-486-0366 | |
Dr. Richard T Lewis, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779 | |
Tiffany Gilmore Randell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Devant Street,, Office 401, Fayetteville, GA 30214 Phone: 404-585-5439 Fax: 678-802-0398 | |
Dr. Steven Charles Snook, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Devant St Ste 1001, Fayetteville, GA 30214 Phone: 770-997-1738 Fax: 678-545-6173 | |
Dr. Susan Hughes May, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779 | |
David Wayne Aycock, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779 |