Individual
DR. LORI BOOTHROYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12935 S WEST BAY SHORE DR, SUITE 200, TRAVERSE CITY, MI 49684-6298
(231) 929-4722
Mailing address
13351 S PARTRIDGE RUN DR, TRAVERSE CITY, MI 49684-8485
(231) 929-4722
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301012397
MI
103TH0004X
Health Psychologist
6301012397
MI
Other
Enumeration date
11/14/2008
Last updated
08/10/2012
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