Organization
MATT F BUTRYN, PHD, LLC
Active
Other names
Athens Neuropsychology and Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT F BUTRYN PHD (PRACTICE OWNER)
(706) 548-0018
Entity
Organization
Contact information
Practice address
1 HUNTINGTON RD, SUITE 802, ATHENS, GA 30606-7204
(706) 548-0018
Mailing address
1 HUNTINGTON RD, SUITE 802, ATHENS, GA 30606-7204
(706) 548-0018
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000918222A
—
GA
Enumeration date
05/10/2012
Last updated
05/10/2012
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