Raydell Booth is a Psychologist in Boise, Idaho. Raydell Booth practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Raydell Booth is 1184661175. The last update date is 2020-02-19.
Raydell Booth's current location address is 13945 W Wainwright Dr #106, Boise, Idaho. You can contact this provider via phone number 2083771131 and fax number 2083771171. The mailing address for Raydell Booth is 13945 W Wainwright Dr #106, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raydell Booth |
|---|---|
| Address | 13945 W Wainwright Dr #106, Boise, Idaho |
| Phone Number | 2083771131 |
| Fax Number | 2083771171 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1184661175 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2020-02-19 |
Provider Mailing Address Detail
| Address | 13945 W Wainwright Dr #106 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837131925 |
| Phone Number | 2083771131 |
| Fax Number | 2083771171 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY211 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code issued to Raydell Booth by the Centers for Medicare & Medicaid Services?
The Raydell Booth has been assigned the NPI (National Provider Identifier) 1184661175 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Raydell Booth's facilities are situated?
The facilities of Raydell Booth are physically located at the following address: 13945 W Wainwright Dr #106, Boise, ID, 837131925.
What is Raydell Booth's area of expertise and its corresponding taxonomy classification?
The Raydell Booth's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1184661175 to Raydell Booth?
The Centers for Medicare & Medicaid Services assigned the 1184661175 to Raydell Booth on 2006-05-31.
As of what date were the details pertaining to Raydell Booth last refreshed?
The information related to the Raydell Booth, including its address, specialty, and other relevant details, was last updated on 2020-02-19.