MEDICARE: MR. FRANCES MARIE BUTTREY M.ED. ,SLPL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLPL # 0547	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0547	OTHER	AZ	STATE LICENSE NUIMBER
2	998685	OTHER	AZ	AHCCCS PROVIDER NUMBER

General Provider Information

NPI Number	:	1053471458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCES MARIE BUTTREY M.ED. ,SLPL

Provider Business Mailing Address
First Line	:	PO BOX 3030
Second Line	:
City	:	SAINT JOHNS
State	:	AZ
Zip	:	85936-3030
Country	:	US
Telephone Number	:	928-337-2174
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 SOUTH, 13TH WEST
Second Line	:
City	:	SAINT JOHNS
State	:	AZ
Zip	:	85936-3030
Country	:	US
Telephone Number	:	928-337-2174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. FRANCES MARIE BUTTREY M.ED. ,SLPL” Practice Location

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