Individual
DR. ROBERT RANDOLPH BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6333 54TH AVE N, ST PETERSBURG, FL 33709-1703
(727) 548-6100
(727) 545-0960
Mailing address
6333 54TH AVE N, ST PETERSBURG, FL 33709-1703
(727) 548-6100
(727) 545-0960
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004732
FL
Other
Enumeration date
07/19/2006
Last updated
01/20/2012
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