Provider Demographics
NPI:1215105028
Name:BUTKUS & ASSOCIATES, INC.
Entity type:Organization
Organization Name:BUTKUS & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTKUS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:713-614-3656
Mailing Address - Street 1:46 S GARNET BND
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2646
Mailing Address - Country:US
Mailing Address - Phone:713-614-3656
Mailing Address - Fax:281-292-6890
Practice Address - Street 1:46 S GARNET BND
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2646
Practice Address - Country:US
Practice Address - Phone:713-614-3656
Practice Address - Fax:281-292-6890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty