Cynthia Darlene Boutin, CSLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA9094 Issued in AZ

Practice address

10266 E Manzanita TRL
Dewey, AZ 86327-5230

Phone

(928) 499-8825

NPI assigned

Sep 5, 2014

Last updated

Sep 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1164823480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10266 E MANZANITA TRL",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863275230",
            "telephone_number": "928-499-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10266 E MANZANITA TRL",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863275230",
            "telephone_number": "928-499-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTIN",
        "first_name": "CYNTHIA",
        "middle_name": "DARLENE",
        "credential": "CSLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asura Healthcare LLC
• Michael Orrin Baird, D.D.S.
• Clarissa Jo Baxter
• Logan Baxter, DC
• Caroline Bingham, AGPC-NP
• Sadie Jo Bouwens
• Bowers Therapy Services P.L.C
• Andrew Gregory Bowers, SLP-CCC
• Jennifer Bowers, SLP
• Bradshaw Mountain Family Medicine LLC

• Speech-Language Assistant in Dewey, AZ
• Providers in Dewey, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.