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Mr. Gregory Stuart Butler, PSYCHOLOGYBA
Student in an Organized Health Care Education/Training Program in San Fernando, California
NPI 1336557172

Gregory Stuart Butler is a Student in an Organized Health Care Education/Training Program based in Lake Balboa, CA. Gregory Stuart Butler practices in San Fernando, CA and has the professional credentials of PSYCHOLOGYBA. The NPI Number for Gregory Stuart Butler is 1336557172 and holds a License No. (California).

The current practice location address for Gregory Stuart Butler is 566 S Brand Blvd, San Fernando, CA and can be reached out via phone at 818-898-0223.

Location: 566 S Brand Blvd, San Fernando, CA, 91406-5942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336557172
Provider Name
Gregory Stuart Butler
Credential
PSYCHOLOGYBA
Provider Entity Type
Individual
Gender
Male
Address
566 S Brand Blvd, San Fernando, CA, 91406-5942
Phone Number
818-898-0223
Fax Number
Provider Enumeration Date
07/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
566 S Brand Blvd
City
San Fernando
State
California
Zip
91340-4002
Phone Number
818-898-0223
Fax Number
person
Provider Business Mailing Address Details
Address
566 S Brand Blvd
City
San Fernando
State
California
Zip
91340-4002
Phone Number
818-898-0223
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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