Individual
KOLETTE A BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2200 E WILLIAMS FIELD RD STE 200, GILBERT, AZ 85295-0764
(480) 322-5720
(480) 448-1582
Mailing address
4928 E ENCANTO ST, MESA, AZ 85205-5322
(480) 322-5720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004926
AZ
103TF0200X
Forensic Psychologist
004926
AZ
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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