Individual
MELISSA A BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD HSPP
Contact information
Practice address
705 RILEY HOSPITAL DRIVE, INDIANAPOLIS, IN 46202-5109
(317) 944-2066
(317) 963-7325
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041562A
IN
103TC0700X
Clinical Psychologist
PSY20881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201267920
—
IN
Enumeration date
12/06/2006
Last updated
01/28/2020
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