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NPI Code Detail

MEDICARE: LINDA ROBINSON BUTLER M.A., CCC/SLP

MEDICARE:   LINDA  ROBINSON BUTLER  M.A., CCC/SLP
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
1235Z00000XSpeech-Language Pathologist13522TX

General Provider Information

NPI Number : 1942426838
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA ROBINSON BUTLER M.A., CCC/SLP
Provider Business Mailing Address
First Line : PO BOX 1572
Second Line :
City : BASTROP
State : TX
Zip : 78602-8572
Country : US
Telephone Number : 512-308-0052
Fax Number : 512-303-9377
Provider Business Practice Location Address
First Line : 139 ELM GROVE DR.
Second Line :
City : CEDAR CREEK
State : TX
Zip : 78612
Country : US
Telephone Number : 512-308-0052
Fax Number : 512-303-9377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 06/27/2013

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Directions to “ LINDA ROBINSON BUTLER M.A., CCC/SLP” Practice Location

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