Provider Demographics
NPI:1073630729
Name:BUTTON, GERALD BRUCE (LMHC)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:BRUCE
Last Name:BUTTON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 MORNINGSTAR CIR APT 203
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8500
Mailing Address - Country:US
Mailing Address - Phone:561-499-7947
Mailing Address - Fax:
Practice Address - Street 1:5910 MORNINGSTAR CIR APT 203
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8500
Practice Address - Country:US
Practice Address - Phone:561-499-7947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health