Individual
DR. HOLLY LEIGH EDGE-BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 E DEL MAR BLVD, SUITE 210, PASADENA, CA 91105-2544
(626) 818-2748
Mailing address
200 E DEL MAR BLVD, SUITE 210, PASADENA, CA 91105-2544
(626) 818-2748
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY20955
CA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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