Individual
REBECCA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
1450 CLAIBORNE AVE, SHREVEPORT, LA 71103-4204
(318) 813-2970
Mailing address
9533 ROCHEL DR, SHREVEPORT, LA 71115-3854
(318) 840-5876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8138
LA
Other
Enumeration date
04/07/2019
Last updated
01/23/2023
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