Jennifer Lynn Boothby in Terre Haute - Clinical
Jennifer Lynn Boothby - NPI 1114065380
Jennifer Lynn Boothby is a Clinical in Terre Haute, Indiana. Jennifer Lynn Boothby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Lynn Boothby is 1114065380. The last update date is 2007-07-08.
Jennifer Lynn Boothby's current location address is 116 N 36th St, Terre Haute, Indiana. You can contact this provider via phone number 8122373950 and fax number 8122374378. The mailing address for Jennifer Lynn Boothby is 116 N 36th St, Terre Haute, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynn Boothby |
|---|---|
| Address | 116 N 36th St, Terre Haute, Indiana |
| Phone Number | 8122373950 |
| Fax Number | 8122374378 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1114065380 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 116 N 36th St |
|---|---|
| City | Terre Haute |
| State | Indiana (IN) |
| Post Code | 478031304 |
| Phone Number | 8122373950 |
| Fax Number | 8122374378 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041760A |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the Jennifer Lynn Boothby's unique identification number?
The Jennifer Lynn Boothby has been assigned the NPI (National Provider Identifier) Number 1114065380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jennifer Lynn Boothby's facilities are situated?
The facilities of Jennifer Lynn Boothby are physically located at the following address: 116 N 36Th St, Terre Haute, IN, 478031304.
What is Jennifer Lynn Boothby's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer Lynn Boothby is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Jennifer Lynn Boothby receive the assignment of its 1114065380 from the Centers for Medicare & Medicaid Services?
The Jennifer Lynn Boothby was issued its 1114065380 by the Centers for Medicare & Medicaid Services on 2007-02-01.
When was the information related to Jennifer Lynn Boothby most recently updated or refreshed?
The details pertaining to the Jennifer Lynn Boothby, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.