Doctor Name: | JENNIFER BUTTS |
NPI Number: | 1407116676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH THERAPIST |
License Number: | 3325 |
Business Practice Address: | 215 21st Ave S Birmingham, AL - 352056801 |
Business Phone Number: | 2053224500 |
Business Fax Number: | 2053230085 |
Mailing Address: | 215 21st Avenue South, BIRMINGHAM |
State: | AL |
Postal Code: | 352053911 |
Phone Number: | 2053224500 |
Fax Number: | 2053230085 |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3325 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |