Provider Demographics
NPI:1184177982
Name:BUTHION, ANNE SCHLESSELMAN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:SCHLESSELMAN
Last Name:BUTHION
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 E OVERHOLSER DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-9607
Mailing Address - Country:US
Mailing Address - Phone:405-361-0074
Mailing Address - Fax:
Practice Address - Street 1:2530 E OVERHOLSER DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-9607
Practice Address - Country:US
Practice Address - Phone:405-361-0074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist