Healthcare Provider Details

I. General information

NPI: 1831023282
Provider Name (Legal Business Name): DENYS ANN BUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5654 ARGENTO DR
AVE MARIA FL
34142-5402
US

IV. Provider business mailing address

5654 ARGENTO DR
AVE MARIA FL
34142-5402
US

V. Phone/Fax

Practice location:
  • Phone: 239-404-2420
  • Fax:
Mailing address:
  • Phone: 239-404-2420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS2015
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: