Individual
NICOLE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
30 N GOULD ST STE N, SHERIDAN, WY 82801-6317
(800) 689-8211
Mailing address
30 N GOULD ST STE N, SHERIDAN, WY 82801-6317
(800) 689-8211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-008045
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636689
BCBS SPEECH THERAPY
IL
Enumeration date
01/16/2007
Last updated
01/23/2026
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