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NPI Code Detail

MEDICARE: ALYSSA BUTLER

MEDICARE: ALYSSA BUTLER
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
1103TS0200XSchool Psychologist4314CA

General Provider Information

NPI Number : 1730036526
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA BUTLER
Provider Business Mailing Address
First Line : 600 W GRAND AVE
Second Line :
City : PORTERVILLE
State : CA
Zip : 93257-2029
Country : US
Telephone Number : 559-783-8564
Fax Number :
Provider Business Practice Location Address
First Line : 600 W GRAND AVE
Second Line :
City : PORTERVILLE
State : CA
Zip : 93257-2029
Country : US
Telephone Number : 559-783-8564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ ALYSSA BUTLER ” Practice Location

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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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