Doctor Name: | RONA BUTLER |
NPI Number: | 1225104466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,CCC-SLP |
License Number: | SLP006425 |
Business Practice Address: | 783 Deerwood Dr Stockbridge, GA - 302816321 |
Business Phone Number: | 4049851143 |
Business Fax Number: | 8665714905 |
Mailing Address: | 783 Deerwood Dr, STOCKBRIDGE |
State: | GA |
Postal Code: | 302816321 |
Phone Number: | 4049851143 |
Fax Number: | 8665714905 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |