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

Gerard E. Boutin PHD PA

Organization Clinical Neuropsychologist · NPI 1124366364

Gerard E. Boutin PHD PA is a Clinical Neuropsychologist in Largo, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13787 Belcher Rd S 140
Largo, FL 33771-4065
Phone: (727) 452-5083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY0002716 (FL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PY0002716 (FL)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PY0002716 (FL)

Record details

NPI number1124366364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerard Boutin — President · (727) 452-5083
NPI enumeratedJanuary 23, 2013
Last updated in NPPESJanuary 23, 2013
Mailing address13787 Belcher Rd S, 140, Largo, FL 33771-4065