Active NPIIndividual providerSole proprietor

Mr. Michael P Butler, ED SPEC

Psychologist, School in Bangor, Maine

NPI Number1669782504
Practice location
700 Mount Hope Ave, Suite 680 Evergreen Woods, Bangor, ME 04401-5691
Fax
207-990-3954
Last updated
October 13, 2010

Michael P Butler is a Psychologist, School based in Bangor, ME. Michael P Butler practices in Bangor, ME and has the professional credentials of ED SPEC. The NPI Number for Michael P Butler is 1669782504 and holds a License No. 401476 (ME). The current practice location address for Michael P Butler is 700 Mount Hope Ave, Suite 680 Evergreen Woods, Bangor, ME 04401-5691 and can be reached out via phone at 207-942-9305 and via fax at 207-990-3954.

Provider Profile Details

NPI Number
1669782504
Provider Name
Michael P Butler
Credential
ED SPEC
Provider Entity Type
Individual
Gender
Male
Address
700 Mount Hope Ave, Suite 680 Evergreen Woods, Bangor, ME 04401-5691
Phone Number
207-942-9305
Fax Number
207-990-3954
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2010
Last Update Date
October 13, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 Mount Hope Ave
Suite 680 Evergreen Woods
Bangor, ME 04401-5691
City
Bangor
State
Maine
Zip
04401-5691
Phone Number
207-942-9305
Fax Number
207-990-3954
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
700 Mount Hope Ave
Suite 680 Evergreen Woods
Bangor, ME 04401-5691
City
Bangor
State
ME
Zip
04401-5691
Phone Number
207-942-9305
Fax Number
207-990-3954

License Information

License Number
401476
License State
ME
Taxonomy
Psychologist, School · 103TS0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Michael P Butler, ED SPEC?

The NPI number of Mr. Michael P Butler, ED SPEC is 1669782504. It was assigned on October 13, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael P Butler, ED SPEC?

Mr. Michael P Butler, ED SPEC is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in ME under license number 401476.

Where does Mr. Michael P Butler, ED SPEC practice?

The practice location is 700 Mount Hope Ave, Suite 680 Evergreen Woods, Bangor, ME 04401-5691. The office can be reached at 207-942-9305 (phone) or 207-990-3954 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669782504 directly on the NPPES registry website.

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