Patrick A Boudewyns, PHD - Psychologist in Augusta, GA

Patrick A Boudewyns, PHD is a Psychologist based in Augusta, Georgia. Patrick A Boudewyns is licensed to practice in Georgia (license number PSY000791) and his current practice location is 1120 15th St, Augusta, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 721-3141.

NPI number for Patrick A Boudewyns is 1063522779 and his current mailing address is 1499 Walton Way, Ste 1400, Augusta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063522779.

Contact Information

Patrick A Boudewyns, PHD
1120 15th St,
Augusta, GA 30912-0004
(706) 721-3141
(706) 721-6602



Healthcare Provider's Profile

Full NamePatrick A Boudewyns
GenderMale
SpecialityPsychologist
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063522779
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 03/30/2011

Medical Identifiers

Medical identifiers for Patrick A Boudewyns such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063522779NPI-NPPES
000257771AMedicaidGA
PS0178MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY000791 (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. Patrick A Boudewyns 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
Patrick A Boudewyns, PHD
1499 Walton Way, Ste 1400,
Augusta, GA 30901-2602

Ph: (706) 828-8401
Patrick A Boudewyns, PHD
1120 15th St,
Augusta, GA 30912-0004

Ph: (706) 721-3141

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› Verified 2 days ago


Psychologist in Augusta, GA

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Dr. Cameron Mosley, PH.D.
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Dr. Lori T. Welch-sigmon, PH.D.
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Phone: 706-721-4588    Fax: 706-721-7264

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