MATT F BUTRYN PHD LLC NPI 1942569090

NPI Information

  • NPI: 1942569090
  • Provider Name: MATT F BUTRYN, PHD, LLC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Doing Business As: ATHENS NEUROPSYCHOLOGY AND COUNSELING
  • Address: 1 HUNTINGTON RD
    SUITE 802
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 548-0018

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NPI Details

MATT F BUTRYN, PHD, LLC is a clinical neuropsychologist in Athens, GA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. MATT F BUTRYN, PHD, LLC NPI is 1942569090. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Athens Neuropsychology And Counseling.

The provider's business location address is:

1 HUNTINGTON RD
SUITE 802
ATHENS, GA
ZIP 30606-204
Phone: (706) 548-0018

The provider's authorized official is Matt F Butryn .
The authorized official title is Practice Owner and has the following contact phone number (706) 548-0018.

The enumeration date for this NPI number is 5/10/2012 and was last updated on 5/10/2012.

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
1103G00000XClinical Neuropsychologist2503GEORGIAYes

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
1000918222AMEDICAIDGEORGIA
268BBFZRMEDICARE UPINGEORGIA

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: 3/30/2025

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