Booth, Bridget Kathleen

Booth, Bridget Kathleen is an individual health care provider with primary practice located at 2300 Ramsey St Va Medical Center, Fayetteville NC 28301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Booth, Bridget Kathleen can be contacted via phone (910) 488-2120.

Contact Information

Primary practice address
2300 Ramsey St Va Medical Center Fayetteville NC 28301
Phone: (910) 488-2120
Fax: (910) 822-7017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004317 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 193660 North Carolina

Profile Details

NPI number 1043242852
LBN Legal business name Booth, Bridget Kathleen
Credentials PHD PMHCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jun 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043242852 NPPES
Pennsylvania Other BO261381 BLUE CROSS BLUE SHIELD
Pennsylvania Other IP156708 BLUE CROSS BLUE SHIELD

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