Individual
DR. ANDRE PAUL BUTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
HIGHWAY 475 SOUTH, HUDSPETH REGIONAL CENTER, WHITFIELD, MS 39193-1032
(601) 664-6195
(601) 359-6945
Mailing address
PO BOX 127B, WHITFIELD, MS 39193-1032
(601) 664-6195
(601) 359-6945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
33521
MS
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
33521
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126594
—
MS
Enumeration date
01/03/2008
Last updated
01/03/2008
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