| Michelle Butler | |
|
2170 W. State Road 434 Longwood FL 32779 | |
| (407) 733-2326 | |
| (407) 327-9058 |
| Full Name | Michelle Butler |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2170 W. State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Michelle Andrea Butler (CLINICAL PSYCHOLGIST) |
| Authorized Official Contact | 4077332626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Butler 564 Green Spring Cir Winter Springs FL 32708-3012 Ph: (407) 733-2326 | Michelle Butler 2170 W. State Road 434 Longwood FL 32779 Ph: (407) 733-2326 |
| NPI Number | 1295975969 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 04/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295975969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7574 (Florida) | Primary |
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