IndividualActive
Evelyn Boutot, PH.D.
NPI 1104969849 · Cognitive & Behavioral Psychologist · Austin, TX
Provider details
- NPI number
- 1104969849
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1041740 (TX)
Mailing address
5900 Brown Rock Trl
Austin, TX 78749-3306
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2017-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.