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

Q: 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.

Q: What is Andrea Boutwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Boutwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

On this page

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

Phone(229) 353-3347

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

Open in Google Maps ↗

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.

COLE BURGESS CRNA

Nurse Anesthetist, Certified Registered