Booth Psychological Solutions, Pllc

LBN: Booth Psychological Solutions, Pllc
Booth Psychological Solutions, Pllc is an health care organization with primary practice located at 13945 W Wainwright Dr Ste 106 , Boise ID 83713-1925. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Booth Psychological Solutions, Pllc can be contacted via phone (208) 377-1131, or through Booth, Raydell J via phone (208) 377-1131.

Contact Information

Primary practice address
13945 W Wainwright Dr Ste 106 Boise ID 83713-1925
Phone: (208) 377-1131
Fax: (208) 908-7129
Website:
Map and Directions
Authorized official contact:
Name: Booth, Raydell J PH.D.
Phone: (208) 377-1131

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X PSY-211 Idaho

Profile Details

NPI number 1598276438
LBN Legal business name Booth Psychological Solutions, Pllc
DBA Doing business as
Authorized official Booth, Raydell J PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2017
Last updated Oct 18th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598276438 NPPES
Other NONE NONE

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