Sandra Lucille Butters, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Veazie, ME
NPI 1316158249 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316158249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP770 (ME)
- Practice address
- 1106 Chase Rd
Veazie, ME 04401-6908 - Phone
- (207) 947-4604
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP770 | ME | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP770 | ME | Yes |
Addresses
Primary practice location
1106 Chase Rd
Veazie, ME 04401-6908
Mailing address
1106 Chase Rd
Veazie, ME 04401-6908
Phone (207) 947-4604
Other providers in Veazie, ME
- Linda S. Allen
- Ryan Michael Bennett I
- Alyssa Campbell
- Bonnie L Clark
- Kendall Fitzpatrick Doyle
- Kelly Fish
- Meagan Foss
All providers in Veazie, ME · Speech-Language Pathologist in Maine
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.