Stephanie Butcher
Early Intervention Provider Agency in Fort Smith, AR. Organization (NPI-2).
NPI number1851716005
StatusActive
Last updated in NPPESFeb 25, 2014
Details
- NPI
- 1851716005
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephanie Butcher
- Organization subpart
- No
- Enumeration date
- Feb 25, 2014
- Last updated
- Feb 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | SP# 2563 | AR | Yes |
Practice location
3300 Cliff DrFort Smith, AR 72903-5917
Phone 479-226-2805
Mailing address
3300 Cliff DrFort Smith, AR 72903-5917
Phone 479-226-2805
Authorized official
Stephanie Butcher
Slp
4792262805
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