Healthcare Provider Details

I. General information

NPI: 1558486738
Provider Name (Legal Business Name): KAREN KNIGHT BUTLER MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9240 COUNTY VIEW RD
DALLAS TX
75249-1124
US

IV. Provider business mailing address

7323 BLAIRVIEW DR
DALLAS TX
75230-5416
US

V. Phone/Fax

Practice location:
  • Phone: 972-708-2060
  • Fax:
Mailing address:
  • Phone: 214-564-3503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number101188
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: