Individual provider · Type 1 NPI

Gregory Stuart Butler, PSYCHOLOGY BA

Student in an Organized Health Care Education/Training Program · San Fernando, CA

NPI number 1336557172 Active

Practice location

566 S Brand Blvd
San Fernando, CA 91340-4002

Call (818) 898-0223 Map

Mailing address

6623 1/2 Gaviota Ave
Lake Balboa, CA 91406-5942

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336557172

Gregory Stuart Butler, PSYCHOLOGY BA's National Provider Identifier is 1336557172, issued on Jul 24, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Fernando, CA. The record was last updated on Jul 24, 2014.