Booth, Teri

Booth, Teri is an individual health care provider with primary practice located at 114 N Tuscola Rd , Bay City MI 48708-6995. 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, Teri can be contacted via phone (989) 895-0788.

Contact Information

Primary practice address
114 N Tuscola Rd Bay City MI 48708-6995
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401009987 Michigan

Profile Details

NPI number 1134200777
LBN Legal business name Booth, Teri
Credentials LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134200777 NPPES
Michigan Other 1014496 MCLAREN HEALTH ADVANTAGE

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