Individual
MRS. TANYA DAWN BUTTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
2712 GARRETT DR, BOWLING GREEN, KY 42104-4332
(859) 302-1938
Mailing address
2712 GARRETT DR, BOWLING GREEN, KY 42104-4332
(859) 302-1938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2631
KY
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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