Healthcare Provider Details

I. General information

NPI: 1700191756
Provider Name (Legal Business Name): MELODY SILLS BUTT M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2010
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 PLYMOUTH RD # 201
ANN ARBOR MI
48105-2277
US

IV. Provider business mailing address

5800 GRANITE PKWY STE 325
PLANO TX
75024-6898
US

V. Phone/Fax

Practice location:
  • Phone: 734-541-2095
  • Fax:
Mailing address:
  • Phone: 954-770-6666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA7901
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: