Butts, Robert Randolph

Butts, Robert Randolph is an individual health care provider with primary practice located at 6333 54Th Ave N , St Petersburg FL 33709-1703. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Butts, Robert Randolph can be contacted via phone (727) 548-6100.

Contact Information

Primary practice address
6333 54Th Ave N St Petersburg FL 33709-1703
Fax: (727) 545-0960
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0004732 Florida

Profile Details

NPI number 1265451462
LBN Legal business name Butts, Robert Randolph
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 20th, 2012 - about 12 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.

Request for update

Popular Providers