Provider Demographics
NPI:1760433825
Name:BUTANEY, BHUPIN (PHD)
Entity Type:Individual
Prefix:
First Name:BHUPIN
Middle Name:
Last Name:BUTANEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14354 N FRANK LLOYD WRIGHT BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8844
Mailing Address - Country:US
Mailing Address - Phone:602-904-6113
Mailing Address - Fax:
Practice Address - Street 1:14354 N FRANK LLOYD WRIGHT BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8844
Practice Address - Country:US
Practice Address - Phone:602-904-6113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-13
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016467-1103TC0700X
AZ4276103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical