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Samantha Boutis, PSY.D

NPI 1033353750 · on the registry since 2009 · sole proprietor

Practice

Address
430 Sills Rd
Yaphank, NY 11980
Phone
(631) 924-5583
Clinicians at this address
18

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York