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DR. WILLIAM D BOOTH PHD

Health Service >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1801907761

Individual Registrant:
DR. WILLIAM D BOOTH PHD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2400 HOSPITAL RD PAIN CLINIC (117) TUSKEGEE, AL 36083-5001 US
Tel: 334-727-0550  Fax: 334-725-3074

Contact information for business:
1526 BENEDICT PL  AUBURN, AL 36832-6763 US
Tel: 334-727-0550  Fax: 334-725-3074

Registration Information:
NPI: 1801907761
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TH0100XBehavioral Health & Social Service Providers
Psychologist
Health Service
AL778

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE PSYCHOOGIST LISCENS778AL01




HEALTH CARE JOBS AL - Page 1



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