Dr. Evelyn Amanda Boutot
Cognitive & Behavioral Psychologist
5900 Brown Rock Trl
Austin
, Texas 78749-3306
Dr. Evelyn Amanda Boutot
Cognitive & Behavioral Psychologist
5900 Brown Rock Trl
Austin
, Texas 78749-3306
(512) 983-8388
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Dr. Evelyn Amanda Boutot
- 5900 Brown Rock Trl
- Austin, TX
- Zip : 78749-3306
- Phone : (512) 983-8388
Second Address
- Dr. Evelyn Amanda Boutot
- 5900 Brown Rock Trl
- Austin, TX
- Zip : 78749-3306
- Phone : (512) 983-8388
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 1041740 | TX |
National Provider Identifier
| NPI | 1104969849 |
|---|---|
| Provider Name | Dr. Evelyn Amanda Boutot |
| First Address | Austin, TX 78749-3306 |
| Second Address | Austin, TX 78749-3306 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2007 |
| Last Update Date | 30/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.