Doctor Name: | ASHLEY NICOLE BUTLER |
NPI Number: | 1275846305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | TSLP6815 |
Business Practice Address: | 6625 N 56th Ave Glendale, AZ - 853013963 |
Business Phone Number: | 6232374002 |
Business Fax Number: | |
Mailing Address: | 4600 E Shea Blvd Ste 101, PHOENIX |
State: | AZ |
Postal Code: | 850286031 |
Phone Number: | 6023688601 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2010 |
NPI Last Update Date: | 07/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP6815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |