Paul Clyde Butler in Crescent City - Clinical
Paul Clyde Butler - NPI 1124238225
Paul Clyde Butler is a Clinical in Crescent City, California. Paul Clyde Butler practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Clyde Butler is 1124238225. The last update date is 2007-07-08.
Paul Clyde Butler's current location address is 159 Starfish Way, Crescent City, California. You can contact this provider via phone number 7074651000. The mailing address for Paul Clyde Butler is 159 Starfish Way, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Clyde Butler |
|---|---|
| Address | 159 Starfish Way, Crescent City, California |
| Phone Number | 7074651000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124238225 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 159 Starfish Way |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955314447 |
| Phone Number | 7074651000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSYCH17637 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Paul Clyde Butler by the Centers for Medicare & Medicaid Services?
The Paul Clyde Butler has been assigned the NPI (National Provider Identifier) 1124238225 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Paul Clyde Butler is physically located?
The Paul Clyde Butler is physically situated at the following address: 159 Starfish Way, Crescent City, CA, 955314447.
What is Paul Clyde Butler's area of expertise and its corresponding taxonomy classification?
The Paul Clyde Butler's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did the Paul Clyde Butler receive its 1124238225?
The Paul Clyde Butler was issued its 1124238225 on 2007-05-23, which is the date when the organization was assigned this unique identifier.
When was the information related to Paul Clyde Butler most recently updated or refreshed?
The details pertaining to the Paul Clyde Butler, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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