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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639158868 NPPES
Georgia MEDICAID 00918222A

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