Brooke Lynn Butler, MS, CCC-SLP | |
2824 Beavertail Ln, Pinetop, AZ 85935-7247 | |
(602) 380-3161 | |
Not Available |
Full Name | Brooke Lynn Butler |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2824 Beavertail Ln, Pinetop, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982723359 | NPI | - | NPPES |
109316 | Medicaid | AZ | |
TSLP4519 | Other | AZ | ARIZONA LICESNSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP4519 (Arizona) | Secondary |
235Z00000X | Speech-language Pathologist | TSLP4519 (Arizona) | Primary |
Provider Name | Therapy One Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316163884 PECOS PAC ID: 2668771015 Enrollment ID: O20160505002277 |
Mailing Address | Practice Location Address |
---|---|
Brooke Lynn Butler, MS, CCC-SLP 2824 Beavertail Ln, Pinetop, AZ 85935-7247 Ph: (602) 380-3161 | Brooke Lynn Butler, MS, CCC-SLP 2824 Beavertail Ln, Pinetop, AZ 85935-7247 Ph: (602) 380-3161 |
Sl Therapy Services Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2824 Beavertail Lane, Pinetop, AZ 85935 Phone: 602-380-3161 | |
Mrs. Maritess Estrevillo Dimaliwat, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5893 Mule Deer Way, Pinetop, AZ 85935 Phone: 928-338-4138 |