Individual
DANIELLE BUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1400 N RITTER AVE, SUITE 230, INDIANAPOLIS, IN 46219
(317) 355-2960
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002247A
IN
237600000X
Audiologist-Hearing Aid Fitter
23002247A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200283230
—
IN
01
—
P01512391
RR MEDICARE
IN
Enumeration date
02/01/2008
Last updated
04/13/2017
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