Provider Demographics
NPI:1326396755
Name:BUTTERFIELD, LONDON
Entity Type:Individual
Prefix:
First Name:LONDON
Middle Name:
Last Name:BUTTERFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 5TH AVE N STE 309
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1425
Mailing Address - Country:US
Mailing Address - Phone:727-824-3189
Mailing Address - Fax:727-824-7101
Practice Address - Street 1:1201 5TH AVE N STE 309
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1425
Practice Address - Country:US
Practice Address - Phone:727-824-3189
Practice Address - Fax:727-824-7101
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist