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Individual

DR. BRIDGET KATHLEEN BOOTH

Active
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Individual

DR. BRIDGET KATHLEEN BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD PMHCNS-BC

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C004317
NC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
193660
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BO261381
BLUE CROSS BLUE SHIELD
PA
01
—
IP156708
MAGELLAN BEHAVIORAL HEALT
PA
Enumeration date
07/06/2006
Last updated
06/10/2008
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