Individual
JOSHUA DAVID BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
501 ADESSA PKWY, STE A-150, LENOIR CITY, TN 37771-6725
(865) 986-8082
(865) 986-5890
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2549 (PROVISIONAL)
TN
103TS0200X
School Psychologist
P2549
TN
103TS0200X
School Psychologist
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3981432
—
TN
Enumeration date
07/19/2005
Last updated
07/26/2007
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