Dana Jo Gillman-Butcher
Individual provider Active NPI Speech-Language Pathologist · South Williamson, KY
NPI 1063594166 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063594166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3057 (KY)
- Practice address
- 260 Hospital Dr
South Williamson, KY 41503-4072 - Phone
- (606) 237-1700
- Fax
- (606) 237-1701
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3057 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3057 | KY | Yes |
Addresses
Primary practice location
260 Hospital Dr
South Williamson, KY 41503-4072
Mailing address
260 Hospital Dr
South Williamson, KY 41503-4072
Phone (606) 237-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3057 | Other | KY | KY BOARD OF SPEECH |
Other providers in South Williamson, KY
- Crystal Ann Fleming
- Brian Francis I
- Garett Charles Francis
- Mkayla Nicole Francis
- Javier Garcia
- Olivia Rose Goad
- Priscilla Gooslin
- Mary Katherine Greene
- Zachary Grimmett
- Shobha Haridas
All providers in South Williamson, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.