Jennifer Booth Psyd Pllc

LBN: Jennifer Booth Psyd Pllc
Jennifer Booth Psyd Pllc is an health care organization with primary practice located at 1409 W Irving Park Rd , Chicago IL 60613-1920. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Jennifer Booth Psyd Pllc can be contacted via phone (224) 636-4942, or through Corley, Jennifer L via phone (224) 636-4942.

Contact Information

Primary practice address
1409 W Irving Park Rd Chicago IL 60613-1920
Phone: (224) 636-4942
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corley, Jennifer L PSYD
Phone: (224) 636-4942

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1417643503
LBN Legal business name Jennifer Booth Psyd Pllc
DBA Doing business as
Authorized official Corley, Jennifer L PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2023
Last updated Jun 7th, 2023 - about 2 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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