ANDREA BOUTWELL ST
NPI 1891815049
Speech-Language Pathologist in Tifton, GA

Active since March 30, 2007
901 18TH ST E, TIFTON, GA 31794(229) 353-3347(229) 353-7722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Boutwell St NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BOUTWELL ST (NPI 1891815049) is an individual speech-language pathologist provider in Tifton, Georgia, licensed in Georgia (SLP006592) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1891815049
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANDREA BOUTWELLCredential: ST
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address901 18th St ETifton, GA 31794-3648 · (229) 353-3347 · Fax (229) 353-7722
Fax(229) 353-7722
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1891815049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in GA · SLP006592
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

901 18TH ST E, Tifton, GA 31794

Other Identifiers 1

OtherSLP006592GA · License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Acute Care)
901 18TH ST E
TIFTON, GA 31794
Student in an Organized Health Care Education/Training Program
901 18TH ST E
TIFTON, GA 31794
Internal Medicine (Pulmonary Disease)
901 18TH ST E
TIFTON, GA 31794
Physical Therapist
901 18TH ST E
TIFTON, GA 31794
Internal Medicine
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Family)
901 18TH ST E
TIFTON, GA 31794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Boutwell's NPI number?

The NPI number for Andrea Boutwell is 1891815049. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Andrea Boutwell located?

Andrea Boutwell practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 353-3347.

What is Andrea Boutwell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Andrea Boutwell was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.