Provider Demographics
NPI:1467994046
Name:HELENE BUTLER, CCC-SLP, PLLC
Entity Type:Organization
Organization Name:HELENE BUTLER, CCC-SLP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:914-393-5947
Mailing Address - Street 1:50 E HARTSDALE AVE
Mailing Address - Street 2:APT 8A
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2725
Mailing Address - Country:US
Mailing Address - Phone:914-393-5947
Mailing Address - Fax:
Practice Address - Street 1:50 E HARTSDALE AVE
Practice Address - Street 2:APT 8A
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2725
Practice Address - Country:US
Practice Address - Phone:914-393-5947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017690252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency