RAYDELL BOOTH, PH.D.
Psychologist
Active
Individual
NPI: 1184661175
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | PSY211 (ID) |
Frequently Asked Questions
NPI 1184661175 is the National Provider Identifier for RAYDELL BOOTH, PH.D., a Psychologist provider located in Eagle, ID. This NPI was enumerated on May 31, 2006.
RAYDELL BOOTH, PH.D. practices at 4060 E CHINDEN BLVD, Eagle, ID 83616.
Quick Facts
- NPI
- 1184661175
- Type
- Individual
- Enumerated
- May 31, 2006
- Last Updated
- Feb 19, 2020
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