| Andrea Boutwell, ST | |
|
901 18th St E, Tifton, GA 31794-3648 | |
| (229) 353-3347 | |
| (229) 353-7722 |
| Full Name | Andrea Boutwell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 901 18th St E, Tifton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891815049 | NPI | - | NPPES |
| SLP006592 | Other | GA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP006592 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Boutwell, ST 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-3347 | Andrea Boutwell, ST 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-3347 |
Mackenzie Cross, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 Love Ave, Tifton, GA 31794 Phone: 229-402-7188 | |
Rhonda Jordan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-6188 Fax: 229-353-7722 | |
Shannon K Mcdaniel, MED CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200 | |
Amy W Marshall, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200 | |
Kimberly Dawn Wilson, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200 Fax: 229-386-1412 | |
Amy R Thomas, MED CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-6188 | |
Procare Therapy Services Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 607 42nd St E, Tifton, GA 31794 Phone: 229-392-3663 Fax: 229-387-0568 |