Individual
DR. MATT F BUTRYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 HUNTINGTON RD, SUITE 802, ATHENS, GA 30606-7204
(706) 548-0018
(706) 548-2389
Mailing address
1 HUNTINGTON RD, SUITE 802, ATHENS, GA 30606-7204
(706) 548-0018
(706) 548-2389
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2503
GA
103TC0700X
Clinical Psychologist
2503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00918222A
—
GA
Enumeration date
01/16/2006
Last updated
06/08/2021
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