Individual
RONA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
783 DEERWOOD DR, STOCKBRIDGE, GA 30281-6321
(404) 985-1143
(866) 571-4905
Mailing address
783 DEERWOOD DR, STOCKBRIDGE, GA 30281-6321
(404) 985-1143
(866) 571-4905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006425
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10054271
—
GA
01
—
52212171-001
BCBS PROVIDER ID
GA
05
—
727277875A
—
GA
05
—
727277875D
—
GA
Enumeration date
11/28/2006
Last updated
04/28/2016
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