Provider Demographics
NPI:1487379756
Name:BUTLER, BARBI (CRPS)
Entity type:Individual
Prefix:
First Name:BARBI
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:CRPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3874 TAM DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-2759
Mailing Address - Country:US
Mailing Address - Phone:407-954-6304
Mailing Address - Fax:
Practice Address - Street 1:3874 TAM DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-2759
Practice Address - Country:US
Practice Address - Phone:407-954-6304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRPS.0100148.A175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist