Doctor Name: | JENNIFER LYNN BUTLER |
NPI Number: | 1902061500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH THERPAIST |
License Number: | SLP-1047 |
Business Practice Address: | 748 Beech St Kenova, WV - 255301506 |
Business Phone Number: | 3044532433 |
Business Fax Number: | 3044531205 |
Mailing Address: | 748 Beech St, KENOVA |
State: | WV |
Postal Code: | 255301506 |
Phone Number: | 3044532433 |
Fax Number: | 3044531205 |
NPI Enumeration Date: | 07/23/2008 |
NPI Last Update Date: | 07/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |