Provider Demographics
NPI:1053471458
Name:BUTTREY, FRANCES MARIE (MED ,SLPL)
Entity Type:Individual
Prefix:MR
First Name:FRANCES
Middle Name:MARIE
Last Name:BUTTREY
Suffix:
Gender:F
Credentials:MED ,SLPL
Other - Prefix:MISS
Other - First Name:FRANCES
Other - Middle Name:MARIE
Other - Last Name:KARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3030
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:AZ
Mailing Address - Zip Code:85936-3030
Mailing Address - Country:US
Mailing Address - Phone:928-337-2174
Mailing Address - Fax:
Practice Address - Street 1:450 SOUTH, 13TH WEST
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:AZ
Practice Address - Zip Code:85936-3030
Practice Address - Country:US
Practice Address - Phone:928-337-2174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPL # 0547235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0547OtherSTATE LICENSE NUIMBER
AZ998685OtherAHCCCS PROVIDER NUMBER