Individual
MR. PATRICK BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1032 BARRIE AVE, WANTAGH, NY 11793-1704
(516) 592-7668
Mailing address
1032 BARRIE AVE, WANTAGH, NY 11793-1704
(516) 592-7668
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1257688181
NY
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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