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NPI Code Detail

MEDICARE: DR. MICHAEL PAUL BUTLER PH.D.

MEDICARE:  DR. MICHAEL PAUL BUTLER  PH.D.
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
1103TC0700XClinical PsychologistPY3672WA

General Provider Information

NPI Number : 1932933140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL PAUL BUTLER PH.D.
Provider Business Mailing Address
First Line : 9215 20TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2739
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1101 DEXTER AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98109-3517
Country : US
Telephone Number : 866-271-3589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2024
Last Update Date : 08/29/2024

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Directions to “ DR. MICHAEL PAUL BUTLER PH.D.” Practice Location

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