Butzon, Colby Douglas

Butzon, Colby Douglas is an individual health care provider with primary practice located at 711 Jefferson Ave , Memphis TN 38105-5003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Butzon, Colby Douglas can be contacted via phone (901) 448-6511.

Contact Information

Primary practice address
711 Jefferson Ave Memphis TN 38105-5003
Phone: (901) 448-6511
Fax: (901) 448-7097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000002905 Tennessee
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2905 Tennessee

Profile Details

NPI number 1023342136
LBN Legal business name Butzon, Colby Douglas
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2009
Last updated Jan 10th, 2022 - about 3 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 1023342136 NPPES
Tennessee MEDICAID 1516308
Tennessee Other 103I680978

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