Individual
DR. SAMANTHA C BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-7483
Mailing address
11 ASHLAND PL, MEDFORD, MA 02155
(617) 355-7483
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
9001
MA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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