MARY SUE BUTLER


Address: 1401 East 1st Street, Duluth, MN 55805
Phone: 2187284491

MARY SUE BUTLER (NPI# 1457446098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457446098
Entity Type Individual
Full Name MARY SUE BUTLER
Credential LP
Practice Address 1401 East 1st Street
Duluth
MN 55805
Mailing Address 1401 East First Street
Duluth
MN 55805
Practice Telephone 2187284491
Practice Fax Number 2187284404
Mailing Telephone 2187284404
Mailing Fax Number 2187284404
Enumeration Date 2006-10-03
Last Update Date 2012-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP2211 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 932850500 05

Other Providers MARY BUTLER

NPI Name Taxonomy Address Enumeration
1134720667 Mary Rae Butler Pharmacist 344 E Palmer Ave, Addison, IL 60101-4027 2020-11-02
1770181539 Mary Lou Butler Homemaker 1383 Lorelei Dr, Fayetteville, OH 45118-9263 2020-10-14
1932671039 Mary Lou Butler Chore Provider 5 Cogburn Ct, Columbia, SC 29229-8075 2018-12-30
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1972994432 Mary Butler Pharmacist 950 N 12th St Ste 125, Milwaukee, WI 53233-1306 2015-02-05
1770784902 Mary Alison Butler Social Worker 1426 N Hancock Ave Ste 5n, Colorado Springs, CO 80903 2007-05-28
1700407830 Mary Annette Butler Nurse Practitioner 301 40th St, Lubbock, TX 79404-2746 2020-04-29
1073179297 Mary Michele Butler Family Medicine 1806 W Lincoln Ave, Yakima, WA 98902-2473 2019-05-13
1568934800 Mary Colleen Butler Physical Therapy Assistant 400 Clocktower Ridge Dr, Winchester, VA 22603-3878 2018-12-27
1760954473 Mary Butler Nurse Practitioner 2175 Main St, Dunedin, FL 34698-5606 2018-12-19

Office Location

Street Address 1401 EAST 1ST STREET
City DULUTH
State MN
Zip Code 55805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275628828 Julie Jae Kim Social Worker 1401 East 1st Street, Duluth, MN 55805 2006-10-03
1093347031 Cody Lindquist Counselor 1401 East 1st Street, Duluth, MN 55805-2407 2020-02-07
1790317741 Matthew Livingston Counselor 1401 East 1st Street, Duluth, MN 55805-2407 2020-02-07
1447727425 Tanya Rae Bednarek Counselor 1401 East 1st Street, Duluth, MN 55805-2407 2018-10-29
1891261434 Eric J Carlson Social Worker 1401 East 1st Street, Duluth, MN 55805-2407 2018-10-22
1962938704 Lindsay Marie Matti Social Worker 1401 East 1st Street, Duluth, MN 55805-2407 2017-05-11
1295180479 Katie Marie Onofreychuk Social Worker 1401 East 1st Street, Duluth, MN 55805-2407 2016-04-26
1063870277 Diona Darnella Johnson Social Worker 1401 East 1st Street, Duluth, MN 55805-2407 2016-02-02
1801981220 Joanne D Fairfield Social Worker 1401 East 1st Street, Duluth, MN 55805 2006-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356852180 Peace of Mind of Duluth, Inc. Community/Behavioral Health 1000 East 1st Street, Suite 100, Duluth, MN 55805 2017-10-19
1891213419 Arielle Skalisky Registered Nurse 400 E. 3rd Street, Duluth, MN 55805 2017-09-04
1457886400 Chefrdn, LLC Dietitian, Registered 1101 East 4th Street, Duluth, MN 55805 2017-04-27
1962811604 Claire Elena Kap Nurse Practitioner Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 2014-08-06
1598196313 Kelsey Lindsay Putvin Audiologist 400 E 3rd St., Duluth, MN 55805 2013-12-04
1639462997 James F Conniff Family Medicine Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 2011-05-19
1215237433 Bobby Jo Mineheine Speech-Language Pathologist 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 2010-10-22
1891004248 Robin Michelle Warfel Occupational Therapist 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 2010-10-04
1154638716 Jennifer Chen Pharmacist 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 2010-09-02
1376858084 Jennifer Lynn Howard Pharmacist 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 2010-08-18
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801493952 Michelle Brownfield Psychologist 606 Spear Ave, Duluth, MN 55803-2154 2020-10-01
1770143331 James Vincent Shreffler Psychologist 324 W Superior St Ste 620, Duluth, MN 55802-1723 2019-06-17
1831556935 Megan Marie Paris Psychologist 715 East Central Entrance, Duluth, MN 55811 2016-01-20
1437447992 Michelle Simon Psychologist 1005 W Morgan St, Duluth, MN 55811-4424 2011-07-19
1215161823 Jude Martin Henningsgaard Psychologist 405 E Superior St, Duluth, MN 55802-2240 2009-05-11
1518143999 Claudia Virginia Weber Psychologist 4298 Charles Rd, Duluth, MN 55803-1270 2008-01-15
1356486153 Penelope Jean Gooch Psychologist 101 W 2nd Street, Suite 100 Northern Lights Counseling Center, Duluth, MN 55802 2007-02-20
1215070073 Marcus Peter Desmonde Psychologist 716 Medical Arts Bldg, Duluth, MN 55802-1721 2007-02-14
1013054642 Kelly Jean Ravenfeather Psychologist 230 E Superior St Ste 101, Duluth, MN 55802-2104 2007-01-31
1417009804 Susan Ruth Hall Psychologist 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 2007-01-17
Find all providers in DULUTH

Competitor

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City DULUTH
Zip Code 55805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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