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Organization

EDUCATIONAL THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA GAIL BUTLER MS, CCC-SLP (OWNER)
(480) 326-2619
Entity
Organization

Contact information

Practice address
10810 N TATUM BLVD # 102-185, PHOENIX, AZ 85028-6055
(480) 326-2619
(602) 297-6727
Mailing address
10810 N TATUM BLVD # 102-185, PHOENIX, AZ 85028-6055
(480) 326-2619
(602) 297-6727

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPL5143
AZ
2355S0801X
Speech-Language Assistant
SLPL5220
AZ
2355S0801X
Speech-Language Assistant
SLPL5336
AZ
2355S0801X
Speech-Language Assistant
Primary
235Z00000X
Speech-Language Pathologist
SLP#0373
AZ
235Z00000X
Speech-Language Pathologist
SLP#1258
AZ
235Z00000X
Speech-Language Pathologist
TSLP#4727
AZ

Other

Enumeration date
03/20/2007
Last updated
09/11/2025
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