| Dr Samantha Lyn Boutis, PSYD | |
|
430 Sills Rd, Yaphank, NY 11980 | |
| (631) 924-5583 | |
| Not Available |
| Full Name | Dr Samantha Lyn Boutis |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 430 Sills Rd, Yaphank, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033353750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 297457 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samantha Lyn Boutis, PSYD 430 Sills Rd, Yaphank, NY 11980 Ph: (631) 924-5583 | Dr Samantha Lyn Boutis, PSYD 430 Sills Rd, Yaphank, NY 11980 Ph: (631) 924-5583 |
Dr. Richard Joseph Lopez, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 430 Sills Rd., Yaphank, NY 11980 Phone: 631-924-5583 Fax: 631-924-5687 | |
Bonnie Mccluskey, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14 Glover Dr, Yaphank, NY 11980 Phone: 631-852-4400 |