Individual
KAREN BUTLER LISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1100 N 35TH ST, PHOENIX, AZ 85008-5210
(602) 381-4665
(602) 381-4662
Mailing address
1100 N 35TH ST, PHOENIX, AZ 85008-5210
(602) 381-4665
(602) 381-4662
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585094
—
AZ
Enumeration date
02/08/2007
Last updated
07/08/2007
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