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Individual

GEORGE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
2881 E OAKLAND PARK BLVD # 112, FORT LAUDERDALE, FL 33306-1813
(954) 401-3107
Mailing address
2659 NE 26TH PL, FORT LAUDERDALE, FL 33306-1703
(954) 401-3107

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0003968
CO
103TC0700X
Clinical Psychologist
Primary
PY9367
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY.0003968
PROFESSIONAL LICENSE
CO
Enumeration date
12/05/2013
Last updated
05/12/2026
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