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NPI Code Detail

MEDICARE: HAILEY BUTLER SLPA

MEDICARE: HAILEY BUTLER SLPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSP60609892WA

General Provider Information

NPI Number : 1447615521
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY BUTLER SLPA
Provider Business Mailing Address
First Line : 51 SNAKE RIVER DR
Second Line :
City : BURBANK
State : WA
Zip : 99323-9676
Country : US
Telephone Number : 509-551-7433
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W 4TH AVE
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-5533
Country : US
Telephone Number : 509-222-6570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2015
Last Update Date : 12/16/2015

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Directions to “ HAILEY BUTLER SLPA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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