Butryn, Matt F
Butryn, Matt F is an individual health care provider with primary practice located at 1 Huntington Rd Suite 802, Athens GA 30606-7204. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Butryn, Matt F can be contacted via phone (706) 548-0018.Contact Information
Primary practice address
1 Huntington Rd Suite 802
Athens GA 30606-7204
Phone: (706) 548-0018
Fax: (706) 548-2389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2503 | Georgia |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2503 | Georgia |
Profile Details
| NPI number | 1639158868 |
|---|---|
| LBN Legal business name | Butryn, Matt F |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Jun 8th, 2021 - about 5 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 | 1639158868 | NPPES |
| Georgia | MEDICAID | 00918222A |
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