Booth, Eileen M

Booth, Eileen M is an sole proprietor health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Booth, Eileen M can be contacted via phone (801) 357-7850.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Phone: (801) 357-7850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1165252501 Utah

Profile Details

NPI number 1285651968
LBN Legal business name Booth, Eileen M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jan 18th, 2013 - about 12 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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