Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Boutwell, ST

Individual provider Speech-Language Pathologist · NPI 1891815049

Andrea Boutwell, ST is a Speech-Language Pathologist in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 353-3347
Fax: (229) 353-7722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP006592 (GA)

Record details

NPI number1891815049
Entity typeIndividual (Type 1)
GenderFemale
Credentials ST
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESJuly 8, 2007

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