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Individual

DR. DAVID LEE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1835 NE MIAMI GARDENS DR, #316, NORTH MIAMI BEACH, FL 33179-5035
(704) 640-3264
Mailing address
1835 NE MIAMI GARDENS DR, #316, NORTH MIAMI BEACH, FL 33179-5035
(704) 640-3264

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY4064
FL
103T00000X
Psychologist
PY4064
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY4064
FL
103TC0700X
Clinical Psychologist
PY4064
FL
103TF0200X
Forensic Psychologist
PY4064
FL
103TR0400X
Rehabilitation Psychologist
PY4064
FL

Other

Enumeration date
01/02/2007
Last updated
09/13/2008
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