Healthcare Provider Details

I. General information

NPI: 1750255352
Provider Name (Legal Business Name): DAELYNN R BUTLER I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 N CHARLOTTE ST APT 4
POTTSTOWN PA
19464-4653
US

IV. Provider business mailing address

717 N CHARLOTTE ST APT 4
POTTSTOWN PA
19464-4653
US

V. Phone/Fax

Practice location:
  • Phone: 610-952-7477
  • Fax:
Mailing address:
  • Phone: 610-952-7477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: