Dia Boutwell, PHD - Psychologist in Fayetteville, GA

Dia Boutwell, PHD is a Psychologist - Clinical based in Fayetteville, Georgia. Dia Boutwell is licensed to practice in Georgia (license number PSY004367) and her current practice location is 125 Howard Ln Ste B, Fayetteville, Georgia. She can be reached at her office (for appointments etc.) via phone at (502) 867-4851.

NPI number for Dia Boutwell is 1740757731 and her current mailing address is 125 Howard Ln Ste B, Fayetteville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740757731.

Contact Information

Dia Boutwell, PHD
125 Howard Ln Ste B,
Fayetteville, GA 30215-1853
(502) 867-4851
Not Available



Healthcare Provider's Profile

Full NameDia Boutwell
GenderFemale
SpecialityPsychologist - Clinical
Location125 Howard Ln Ste B, Fayetteville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740757731
  • Provider Enumeration Date: 10/27/2018
  • Last Update Date: 02/21/2020

Medical Identifiers

Medical identifiers for Dia Boutwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740757731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY004367 (Georgia)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. Dia 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 AddressPractice 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

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› Verified 3 days ago


Psychologist in Fayetteville, GA

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Dr. Richard T Lewis, PHD
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Dr. Steven Charles Snook, PH.D.
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Dr. Susan Hughes May, PH.D.
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Phone: 770-461-9944    Fax: 770-461-9779

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