Provider Demographics
NPI:1962445874
Name:BUTLER, KAREN M (BC-HIS, ACA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:BUTLER
Suffix:
Gender:F
Credentials:BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8068 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-7670
Mailing Address - Country:US
Mailing Address - Phone:407-859-7005
Mailing Address - Fax:407-850-2635
Practice Address - Street 1:8001 S ORANGE BLOSSOM TRL
Practice Address - Street 2:FL MALL SUITE 692
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-7654
Practice Address - Country:US
Practice Address - Phone:407-859-7005
Practice Address - Fax:407-850-2635
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3289237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist