| R Randolph Butts Psyd Pa | |
|
8383 Seminole Blvd Suite C Seminole FL 33772-4392 | |
| (727) 391-3893 | |
| (866) 582-0237 |
| Full Name | R Randolph Butts Psyd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8383 Seminole Blvd, Seminole, Florida |
| Authorized Official Name and Position | Robert Randolph Butts (PRESIDENT) |
| Authorized Official Contact | 7273913893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Randolph Butts Psyd Pa Po Box 86071 Madeira Beach FL 33738-6071 Ph: (727) 391-3893 | R Randolph Butts Psyd Pa 8383 Seminole Blvd Suite C Seminole FL 33772-4392 Ph: (727) 391-3893 |
| NPI Number | 1407973142 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407973142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4732 (Florida) | Primary |
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