Boothe, Jason

Boothe, Jason is an individual health care provider with primary practice located at 4310 James Casey St Bldg 2, Austin TX 78745-1120. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boothe, Jason can be contacted via phone (512) 416-7246.

Contact Information

Primary practice address
4310 James Casey St Bldg 2 Austin TX 78745-1120
Phone: (512) 416-7246
Fax: (512) 416-6791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32415 Texas

Profile Details

NPI number 1538162722
LBN Legal business name Boothe, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
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 1538162722 NPPES
Other 1039619 BLUELINK
Other 8581BH BLUELINK

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