| NPI | 1972764090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL C BUTLER Slp/Owner 618-910-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 133V00000X Dietitian, Registered | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |