Jennifer Boutwell, MA, CCC-SLP is a
Speech-language Pathologist based in Randleman, North Carolina. Jennifer Boutwell is licensed to practice in North Carolina (license number SP21639) and her current practice location is
204 E Naomi St, Randleman, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 267-9046.
NPI number for Jennifer Boutwell is 1639629900 and her current mailing address is 204 E Naomi St, Randleman, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639629900.
Healthcare Provider's Profile
Full Name | Jennifer Boutwell |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 204 E Naomi St, Randleman, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639629900
- Provider Enumeration Date: 10/10/2016
- Last Update Date: 10/10/2016
Medical Identifiers
Medical identifiers for Jennifer Boutwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639629900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SP21639 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Boutwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Boutwell, MA, CCC-SLP 204 E Naomi St, Randleman, NC 27317-1844 Ph: () - | Jennifer Boutwell, MA, CCC-SLP 204 E Naomi St, Randleman, NC 27317-1844 Ph: (336) 267-9046 |
Reviews and Comments