Provider Demographics
NPI:1942426838
Name:ROBINSON BUTLER, LINDA (MA, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ROBINSON BUTLER
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:ROBINSON BUTLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC/SLP
Mailing Address - Street 1:PO BOX 1572
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-8572
Mailing Address - Country:US
Mailing Address - Phone:512-308-0052
Mailing Address - Fax:512-303-9377
Practice Address - Street 1:139 ELM GROVE DR.
Practice Address - Street 2:
Practice Address - City:CEDAR CREEK
Practice Address - State:TX
Practice Address - Zip Code:78612
Practice Address - Country:US
Practice Address - Phone:512-308-0052
Practice Address - Fax:512-303-9377
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13522235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist