GERARD E. BOUTIN PHD PA
Social Work at Belcher Rd, Largo, FL

License number
Florida PY0002716
Category
Social Work
Type
Clinical Neuropsychologist
License number
Florida PY0002716
Category
Social Work
Type
Clinical
License number
Florida PY0002716
Category
Social Work
Type
Clinical Child & Adolescent
Owner
Name: DR. GERARD E. BOUTIN PHD
Title: PRESIDENT
Phone: (727) 452-5083
Address
Address
13787 Belcher Rd S 140, Largo, FL 33771
National Provider ID: 1124366364
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GERARD E. BOUTIN PHD PA at bizstanding.com

Gerard E Boutin PH.D

Largo, FL

Industry:
Health Practitioner's Office
Doing business as:
Gerard E. Boutin PH.D., PA
Registration:
Mar 30, 2010
Addresses:
1301 Seminole Blvd, Largo, FL 33770
13787 Belcher Rd S, Largo, FL 33771
State ID:
P10000027939
Business type:
Domestic for Profit Corporation
Phd, Principal, President, Treasurer, Secretary, Director, Vice President:
Gerard Boutin (Phd, Principal, President, Treasurer, Secretary, Director, Vice President)

Gerard E. Boutin, PH.D., PA

9911 E Seminole Blvd Lakeside Med Plz, Largo, FL 33772

Status:
Inactive
Registration:
Feb 1, 1982
State ID:
F63179
Business type:
Domestic for Profit Corporation
Director:
Gerard E. Boutin Director, inactive

Social Work licenses in Florida










Other General Professional services licenses in Florida