CODYE ANNE BOUTIN


Address: 5117 W Pershing Ave, Glendale, AZ 85304-1318
Phone: 6236282776

CODYE ANNE BOUTIN (NPI# 1316599277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316599277
Entity Type Individual
Full Name CODYE ANNE BOUTIN
Practice Address 5117 W Pershing Ave
Glendale
AZ 85304-1318
Practice Telephone 6236282776
Mailing Telephone 6236282776
Enumeration Date 2019-07-11
Last Update Date 2019-07-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
SLPA11917 AZ Speech, Language and Hearing Service Providers

Office Location

Street Address 5117 W PERSHING AVE
City GLENDALE
State AZ
Zip Code 85304-1318

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NPI Name Taxonomy Address Enumeration
1386254027 J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II Substance Abuse Rehabilitation Facility 6613 W. Pershing Avenue, Glendale, AZ 85304 2020-08-07
1194214015 Vema Corporation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4309 W Corrine Dr, Glendale, AZ 85304 2018-05-07
1962929224 Glendale Surgery Center Clinic/Center 11851 North 51st Ave, Suite G, Glendale, AZ 85304 2017-08-28
1073941092 Megan Lorenzen Occupational Therapist 5834 W. Bloomfield Rd., Glendale, AZ 85304 2013-10-30
1396178380 Danielle Marie Wiles Registered Nurse 12901 W. 63rd Avenue, Glendale, AZ 85304 2013-08-14
1780017848 Pedram Nazari Pharmacist 4811 North 83rd Avenue, Glendale, AZ 85304 2013-08-13
1740558022 Krunal Patel Obstetrics & Gynecology 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 2011-12-01
1730499609 Laura A Truax Physician Assistant 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 2010-10-13
1760698419 Suhir Bitar Pediatrics 13625 N 59th Ave, Glendale, AZ 85304 2007-05-16
1497967293 Pam Rubbone Psychologist 4650 West Sweetwater Ave., Glendale, AZ 85304 2007-05-04
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477179976 Patricia Enloe Specialist/Technologist 5210 W Desert Hills Dr, Glendale, AZ 85304-1984 2020-06-19
1467073312 Sarah Alicia Wasson Specialist/Technologist 4309 W Griswold Rd, Glendale, AZ 85302-6614 2020-05-01
1295368025 Adam Stanley Specialist/Technologist 8769 West Northview Avenue, Glendale, AZ 85305 2020-02-20
1871132100 Emerson Blake Smith Specialist/Technologist 5809 W Vogel Ave, Glendale, AZ 85302-3123 2020-01-03
1952952996 Shannon Zozaya Specialist/Technologist 6823 W Angela Dr, Glendale, AZ 85308-8433 2019-09-20
1962050138 Karina Navarrete Specialist/Technologist 7418 W. Fleetwood Ln, Glendale, AZ 85303 2019-08-29
1275197048 Carly Cottrell Specialist/Technologist 6234 W Behrend Dr Apt 1112, Glendale, AZ 85308-6909 2019-04-27
1104480482 Cheryl Renie Snyder-roy Specialist/Technologist 4441 W Tonto Rd, Glendale, AZ 85308-7329 2019-04-23
1881152411 Danielle Gandolfo Specialist/Technologist 11232 N 65th Ave, Glendale, AZ 85304-3640 2019-03-02
1063991065 Christine Marie Saint Specialist/Technologist 4723 W Evans Dr, Glendale, AZ 85306-4432 2018-08-09
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Competitor

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City GLENDALE
Zip Code 85304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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