Booth, Bryan

Booth, Bryan is an individual health care provider with primary practice located at 2712 E 122Nd Ave , Tampa FL 33612-4715. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Booth, Bryan can be contacted via phone (727) 831-0337.

Contact Information

Primary practice address
2712 E 122Nd Ave Tampa FL 33612-4715
Phone: (727) 831-0337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LCCT0302010409 Florida

Profile Details

NPI number 1831583178
LBN Legal business name Booth, Bryan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2015
Last updated Mar 25th, 2015 - about 10 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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