Therese J Booth in Saint Louis - Psychologist
Therese J Booth - NPI 1407996556
Therese J Booth is a Psychologist in Saint Louis, Missouri. Therese J Booth practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Therese J Booth is 1407996556. The last update date is 2007-07-08.
Therese J Booth's current location address is 758 Chamberlain Pl, Saint Louis, Missouri. You can contact this provider via phone number 3146103232 and fax number 3149187656. The mailing address for Therese J Booth is 758 Chamberlain Pl, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Therese J Booth |
|---|---|
| Address | 758 Chamberlain Pl, Saint Louis, Missouri |
| Phone Number | 3146103232 |
| Fax Number | 3149187656 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407996556 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 758 Chamberlain Pl |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631192716 |
| Phone Number | 3146103232 |
| Fax Number | 3149187656 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1714 |
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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 identification code assigned to Therese J Booth by the Centers for Medicare & Medicaid Services?
The Therese J Booth has been issued the NPI (National Provider Identifier) 1407996556, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Therese J Booth's physical address?
The Therese J Booth is physically located at 758 Chamberlain Pl, in the city of Saint Louis, MO, with the postal code 631192716.
What is the Therese J Booth's specialty and taxonomy code?
The Therese J Booth's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date was the 1407996556 assigned to Therese J Booth?
The Therese J Booth was issued its 1407996556 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Therese J Booth most recently updated or revised?
The information pertaining to Therese J Booth, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.