Most Relevant Information
Provider Data
| NPI Number: | 1003041112 |
| Provider Name: | STEPHANIE LYNN BUTLER M.S. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA9916 |
Most Important Dates
| Enumeration Date: | 05/18/2009 |
| Last Updated: | 05/18/2009 |
Provider Practice Location
2202 SUMMER RAYE CT
SAINT CLOUD
FL
347728587
Practice Location Phone/Fax
| Phone: | 4079084655 |
| Fax: |
Provider Mailing Location
2202 SUMMER RAYE CT
SAINT CLOUD
FL
347728587
Provider Mailing Phone/Fax
| Phone: | 4079084655 |
| Fax: |