Provider Demographics
NPI:1730595299
Name:BUTLER HEPLER, KATHRINE IRENE (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHRINE
Middle Name:IRENE
Last Name:BUTLER HEPLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:191 S MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-2233
Mailing Address - Country:US
Mailing Address - Phone:207-307-7704
Mailing Address - Fax:207-573-1108
Practice Address - Street 1:191 S MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-2233
Practice Address - Country:US
Practice Address - Phone:207-307-7704
Practice Address - Fax:207-573-1108
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-06
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS1443103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical