Heather Clark Butler
Individual provider Active NPI School Psychologist · Fortville, IN
NPI 1447087069 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1447087069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 1806 In-234
Fortville, IN 46040 - Phone
- (317) 485-3100
- NPI assigned
- Sep 17, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Yes |
Addresses
Primary practice location
1806 In-234
Fortville, IN 46040
Mailing address
255 N 14TH Ave
Beech Grove, IN 46107-1167
Phone (317) 850-7768
Other providers in Fortville, IN
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- Candice Liane Closser
- Joshua Ryan Collingwood
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- Erin Costerison
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All providers in Fortville, IN · School Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. 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.