DR. ANDRE PAUL BUTEAU PH.D. NPI 1518142041

NPI Information

  • NPI: 1518142041
  • Provider Name: DR. ANDRE PAUL BUTEAU, PH.D.
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: HIGHWAY 475 SOUTH
    HUDSPETH REGIONAL CENTER
    WHITFIELD, MS
    ZIP 39193
  • Phone: (601) 664-6195

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NPI Details

DR. Andre Paul Buteau, PH.D. is an intellectual and developmental disabilities in Whitfield, MS. DR. Andre Paul Buteau, PH.D. NPI is 1518142041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

HIGHWAY 475 SOUTH
HUDSPETH REGIONAL CENTER
WHITFIELD, MS
ZIP 39193-032
Phone: (601) 664-6195
Fax: (601) 359-6945

The enumeration date for this NPI number is 1/3/2008 and was last updated on 1/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist33521MISSISSIPPINo
2103TM1800XPsychologistIntellectual and Developmental Disabilities33521MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100126594MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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