Organization
R RANDOLPH BUTTS PSYD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RANDOLPH BUTTS PSY.D. (PRESIDENT)
(727) 391-3893
Entity
Organization
Contact information
Practice address
8383 SEMINOLE BLVD, SUITE C, SEMINOLE, FL 33772-4392
(727) 391-3893
(866) 582-0237
Mailing address
PO BOX 86071, MADEIRA BEACH, FL 33738-6071
(727) 391-3893
(866) 582-0237
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4732
FL
Other
Enumeration date
03/26/2007
Last updated
06/18/2008
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