NPI 1063522779

Patrick A. Boudewyns, PHD

Practitioner Psychologist Augusta, GA

Practice location

Address: 1120 15th St, Augusta, GA 30912-0004
Phone: (706) 721-3141
Fax: (706) 721-6602
Mailing address: 1499 Walton Way STE 1400, Augusta, GA 30901-2602

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY000791 (GA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1063522779
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 30 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.