Individual
DR. GRANT JACKSON BUTTERBAUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3525 PRYTANIA ST, SUITE 309, NEW ORLEANS, LA 70115-3500
(504) 309-9855
(504) 814-4346
Mailing address
3525 PRYTANIA ST, SUITE 309, NEW ORLEANS, LA 70115-3500
(504) 309-9855
(504) 814-4346
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
681
LA
103TC0700X
Clinical Psychologist
681
LA
Other
Enumeration date
10/04/2006
Last updated
10/02/2014
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