Healthcare Provider Details

I. General information

NPI: 1689510877
Provider Name (Legal Business Name): JENYFER LIN BUTTERFIELD M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 W WELDON AVE
FRESNO CA
93705-4938
US

IV. Provider business mailing address

6529 N EL CAPITAN AVE
FRESNO CA
93722-3545
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-2910
  • Fax:
Mailing address:
  • Phone: 559-353-1198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14555
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: