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

Individual provider Clinical Psychologist · NPI 1740757731

Dia Boutwell, PHD is a Clinical Psychologist in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

125 Howard Ln Ste B
Fayetteville, GA 30215-1853
Phone: (502) 867-4851
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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 PSY004367 (GA)

Record details

NPI number1740757731
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 27, 2018
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing address125 Howard Ln Ste B, Fayetteville, GA 30215-1853

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