Individual
ALECIA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 PROGRESS RD, BATON ROUGE, LA 70807-3319
(225) 775-4986
Mailing address
15922 LOUSSIER DR, ZACHARY, LA 70791-8359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9399
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
Enumeration date
10/26/2023
Last updated
10/26/2023
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