Individual
ANN-MARIE GORDON BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC
Contact information
Practice address
1 PACIFIC DR, PALM COAST, FL 32164-7534
(904) 444-5300
(904) 615-8285
Mailing address
1 PACIFIC DR, PALM COAST, FL 32164-7534
(904) 444-5300
(904) 615-8285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7630
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386860708
—
FL
Enumeration date
04/17/2007
Last updated
08/14/2024
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