Butler, Clyde Wilson
Butler, Clyde Wilson is an individual health care provider with primary practice located at 380 Woods Cove Rd , Scottsboro AL 35768-2428. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Butler, Clyde Wilson can be contacted via phone (256) 259-4840.Contact Information
Primary practice address
380 Woods Cove Rd
Scottsboro AL 35768-2428
Phone: (256) 259-4840
Fax: (256) 259-4830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2159 | Alabama |
Profile Details
| NPI number | 1386818318 |
|---|---|
| LBN Legal business name | Butler, Clyde Wilson |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 22nd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386818318 | NPPES |
| Alabama | Other | 2159 | STATE OF AL LICENSE |
| Alabama | Other | 515-20510 | STATE OF AL LICENSE |
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