| Ashley Lannen Booth, HSP-PA | |
|
302 N Main St, Fairmont, NC 28340-1730 | |
| (910) 628-6718 | |
| (910) 628-6719 |
| Full Name | Ashley Lannen Booth |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 302 N Main St, Fairmont, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699840165 | NPI | - | NPPES |
| 6107276 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0803 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Lannen Booth, HSP-PA Po Box 369, Fairmont, NC 28340-0369 Ph: (910) 628-6718 | Ashley Lannen Booth, HSP-PA 302 N Main St, Fairmont, NC 28340-1730 Ph: (910) 628-6718 |
Mr. Michael Christopher Paoni, HSP-PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 302 N Main St, Fairmont, NC 28340 Phone: 910-628-6718 Fax: 910-628-6719 | |
Mr. Clyde Aaron Collins, HSP-PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 302 N Main St, Fairmont, NC 28340 Phone: 910-628-6718 Fax: 910-628-6719 | |
Mrs. Mary Lewis Hardin, HSP-PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 302 N Main St, Fairmont, NC 28340 Phone: 910-628-6718 Fax: 910-628-6719 |