Doctor Name: | STEPHANIE A BUTSON |
NPI Number: | 1285906818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., SLPCCC |
License Number: | 8698 |
Business Practice Address: | 1260 County Road E W Arden Hills, MN - 551123700 |
Business Phone Number: | 6516390942 |
Business Fax Number: | 6516391718 |
Mailing Address: | 8400 Golden Valley Rd Apt 217, GOLDEN VALLEY |
State: | MN |
Postal Code: | 554274459 |
Phone Number: | 6125188508 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2012 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |