Booth, Mary Kay
Booth, Mary Kay is an sole proprietor health care provider with primary practice located at 118 Brookview Avenue , Olean NY 14760. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Booth, Mary Kay can be contacted via phone (585) 375-1398.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 001771 | New York |
Profile Details
| NPI number | 1801937826 |
|---|---|
| LBN Legal business name | Booth, Mary Kay |
| Credentials | BA, CASAC, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2007 |
| Last updated | Mar 10th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801937826 | NPPES |
| New York | MEDICAID | 00635070 | |
| New York | Other | 20-8258921 |
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