Provider Demographics
NPI:1942354568
Name:BUTTERFIELD, LESLIE MICHELE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:MICHELE
Last Name:BUTTERFIELD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7552 19TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4432
Mailing Address - Country:US
Mailing Address - Phone:206-729-0665
Mailing Address - Fax:206-328-0910
Practice Address - Street 1:2200 24TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-3050
Practice Address - Country:US
Practice Address - Phone:206-328-0910
Practice Address - Fax:206-328-2310
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY000094103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical