DR. Samantha Lyn Boutis, PSY.D

NPI #1033353750 in Yaphank, New York

Provider Information

NPI Number: 1033353750
Entity Type: Individual
Name: DR. Samantha Lyn Boutis, PSY.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: PSY.D
Enumeration Date: Apr 24, 2009
Last Updated: Sep 8, 2010

Practice Location

Address: 430 SILLS RD
City: Yaphank
State: New York
ZIP Code: 11980
Phone: (631) 924-5583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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