IndividualActive
Angelique Butler, PSYD
NPI 1730495763 · Clinical Psychologist · Springfield, MO
Provider details
- NPI number
- 1730495763
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 2009038788 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone: (417) 761-5000
Fax: (417) 761-5011
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 435
Mount Vernon, MO 65712-0435
Additional practice locations (1)
- 713 S West StMount Vernon, MO 65712-1740Phone: (417) 399-1537
Registry dates
- Enumerated
- 2010-08-27
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.