NPI 1417629346 · live from the CMS NPI Registry
Serena Butler, CCC-SLP
Speech-Language Pathologist, in Newark, DE. National Provider Identifier 1417629346, active.
NPI record
| NPI | 1417629346 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 630 E Chestnut Hill Rd, Newark, DE 19713 |
| Practice phone | 302-454-2097 |
| Mailing address | 31 Wicklow Rd, Bear, DE 19701 |
| Enumerated | September 29, 2021 |
| Last updated | September 29, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 01-0012009 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.