Doctor Name: | MISS LIZA RENEE' BUTTS |
NPI Number: | 1124280169 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 07663 |
Business Practice Address: | 242 Main St Oneonta, NY - 138202527 |
Business Phone Number: | 6074332343 |
Business Fax Number: | |
Mailing Address: | 211 Main St, AFTON |
State: | NY |
Postal Code: | 137303222 |
Phone Number: | 6076392031 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2008 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 07663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |