| Doctor Name: | DR. GILBERT WAYNE BUTLER |
| NPI Number: | 1447328182 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 4276 |
| Business Practice Address: | 15145 Lincoln Hwy Van Wert, OH - 458919619 |
| Business Phone Number: | 8882411780 |
| Business Fax Number: | 4192385571 |
| Mailing Address: | 361 E Ervin Rd, VAN WERT |
| State: | OH |
| Postal Code: | 458912521 |
| Phone Number: | 4192381430 |
| Fax Number: | 4192385571 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4276 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |