Organization
RJB PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYDELL J BOOTH (OWNER)
(208) 377-1131
Entity
Organization
Contact information
Practice address
13945 W WAINWRIGHT DR STE 106, BOISE, ID 83713-1925
(208) 377-1131
Mailing address
13945 W WAINWRIGHT DR STE 106, BOISE, ID 83713-1925
(208) 377-1131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-211
ID
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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