Provider Demographics
NPI:1609813328
Name:BUTLER, ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:901 W ROXBURY PKWY
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3726
Mailing Address - Country:US
Mailing Address - Phone:617-910-8987
Mailing Address - Fax:617-553-0374
Practice Address - Street 1:1101 BEACON ST STE 4-WEST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446
Practice Address - Country:US
Practice Address - Phone:617-910-8987
Practice Address - Fax:617-553-0374
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA586932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3083535Medicaid
MA3083535Medicaid