Provider Demographics
NPI:1629135207
Name:BUTERBAUGH, CHRISTOPHER ERIC (MED)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ERIC
Last Name:BUTERBAUGH
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HALFWAY POND ROAD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-3255
Mailing Address - Country:US
Mailing Address - Phone:508-224-9469
Mailing Address - Fax:
Practice Address - Street 1:61 INDUSTRIAL PARK ROAD
Practice Address - Street 2:SOUTH BAY MENTAL HEALTH CENTER
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4868
Practice Address - Country:US
Practice Address - Phone:508-830-0000
Practice Address - Fax:508-746-8429
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health