Individual
SUSAN E BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MA, LLP
Contact information
Practice address
1200 N TELEGRAPH RD BLDG 32E, PONTIAC, MI 48341-1032
(248) 464-6246
(248) 920-0352
Mailing address
2515 SILVERSIDE RD, WATERFORD, MI 48328-1761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010186
MI
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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