Booth, Raydell

Booth, Raydell is an sole proprietor health care provider with primary practice located at 4060 E Chinden Blvd , Eagle ID 83616-6481. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Booth, Raydell can be contacted via phone (208) 377-1131.

Contact Information

Primary practice address
4060 E Chinden Blvd Eagle ID 83616-6481
Phone: (208) 377-1131
Fax: (208) 377-1171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY211 Idaho

Profile Details

NPI number 1184661175
LBN Legal business name Booth, Raydell
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Feb 19th, 2020 - about 6 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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