Dr. Samantha Lyn Boutis
School Psychologist
430 Sills Rd
Yaphank
, New York 11980
Dr. Samantha Lyn Boutis
School Psychologist
430 Sills Rd
Yaphank
, New York 11980
(631) 924-5583
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Samantha Lyn Boutis
- 430 Sills Rd
- Yaphank, NY
- Zip : 11980
- Phone : (631) 924-5583
Second Address
- Dr. Samantha Lyn Boutis
- 430 Sills Rd
- Yaphank, NY
- Zip : 11980
- Phone : (631) 924-5583
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 297457 | NY |
National Provider Identifier
| NPI | 1033353750 |
|---|---|
| Provider Name | Dr. Samantha Lyn Boutis |
| First Address | Yaphank, NY 11980 |
| Second Address | Yaphank, NY 11980 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2009 |
| Last Update Date | 08/09/2010 |
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.