| Booth Psychological Solutions, Pllc | |
|
13945 W Wainwright Dr Ste 106 Boise ID 83713-1925 | |
| (208) 377-1131 | |
| (208) 908-7129 |
| Full Name | Booth Psychological Solutions, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13945 W Wainwright Dr Ste 106, Boise, Idaho |
| Authorized Official Name and Position | Raydell J Booth (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2083771131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booth Psychological Solutions, Pllc 10 Creekside Ct Garden Valley ID 83622-5294 Ph: (208) 377-1131 | Booth Psychological Solutions, Pllc 13945 W Wainwright Dr Ste 106 Boise ID 83713-1925 Ph: (208) 377-1131 |
| NPI Number | 1598276438 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598276438 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY-211 (Idaho) | Primary |
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