Individual
MRS. CHRISTINE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C.
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
1403 TRAIL BOSS LN, BRANDON, FL 33511-7796
(813) 643-0848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S2544
BC/BS OF FLORIDA #
FL
Enumeration date
09/12/2006
Last updated
07/09/2007
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