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NPI Code Detail

MEDICARE: JULIA ELIZABETH BUTTS

MEDICARE:   JULIA ELIZABETH BUTTS
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 AssistantSLPA12311AZ

General Provider Information

NPI Number : 1700562907
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA ELIZABETH BUTTS
Provider Business Mailing Address
First Line : 19511 N 53RD DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-5044
Country : US
Telephone Number : 623-387-7841
Fax Number :
Provider Business Practice Location Address
First Line : 21045 N 9TH PL
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5634
Country : US
Telephone Number : 602-726-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2023
Last Update Date : 06/23/2023

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Directions to “ JULIA ELIZABETH BUTTS ” Practice Location

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