Individual
DR. MARGUERITE VASSHTI BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
2120 PARK AVE, MINNEAPOLIS, MN 55404-3378
(651) 774-0011
(651) 774-0606
Mailing address
4557 OAKLAND AVE, MINNEAPOLIS, MN 55407-3533
(612) 227-0455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4506
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
996488600
—
MN
Enumeration date
03/30/2006
Last updated
08/23/2023
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