Bridget Kathleen Booth in Lillington - Psychiatric/mental Health, Adult

Bridget Kathleen Booth - NPI 1043242852

Bridget Kathleen Booth is a Psychiatric/mental Health, Adult in Lillington, North Carolina. Bridget Kathleen Booth practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Bridget Kathleen Booth is 1043242852. The last update date is 2008-06-10.

Bridget Kathleen Booth's current location address is 96 Rogers Rd, Lillington, North Carolina. You can contact this provider via phone number 9105804856. The mailing address for Bridget Kathleen Booth is 96 Rogers Rd, Lillington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Bridget Kathleen Booth
Address 96 Rogers Rd, Lillington, North Carolina
Phone Number 9105804856
Fax Number
Sole Proprietor N
Credentials PHD PMHCNS

NPI Number Detail

NPI Number 1043242852
Provider Enumeration Date 2006-07-06
Last Updated Date 2008-06-10

Provider Mailing Address Detail

Address 96 Rogers Rd
City Lillington
State North Carolina (NC)
Post Code 275467305
Phone Number 9105804856
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 364Sp0809X
Licence No 193660
Definition:
A psychiatric clinical nurse specialist expert in caring for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BO261381 PA BLUE CROSS BLUE SHIELD
IP156708 PA MAGELLAN BEHAVIORAL HEALT

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FAQs about Bridget Kathleen Booth

What is the unique provider identifier assigned to Bridget Kathleen Booth?

The Bridget Kathleen Booth has been issued the NPI (National Provider Identifier) 1043242852 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Bridget Kathleen Booth's facilities are situated?

The facilities of Bridget Kathleen Booth are physically located at the following address: 96 Rogers Rd, Lillington, NC, 275467305.

What is the Bridget Kathleen Booth's area of specialization and corresponding taxonomy classification?

The Bridget Kathleen Booth's specialty field is Psychiatric/mental Health, Adult, and it falls under the taxonomy code 364Sp0809X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1043242852 to Bridget Kathleen Booth?

The Bridget Kathleen Booth received its 1043242852 assignment from the Centers for Medicare & Medicaid Services on 2006-07-06.

As of what date were the details pertaining to Bridget Kathleen Booth last refreshed?

The information related to the Bridget Kathleen Booth, including its address, specialty, and other relevant details, was last updated on 2008-06-10.

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