Organization
BOOTH PSYCHOLOGICAL AND EDUCATIONAL SERVICES, INC
Active
Other names
Kerry G. Booth, Ph. D., p.c.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY G. BOOTH PH.D. (PRESIDENT/CLINICAL PSYCHOLOGIST)
(918) 749-9357
Entity
Organization
Contact information
Practice address
6140 S FLORENCE PL, TULSA, OK 74136-1201
(918) 749-9357
Mailing address
6140 S FLORENCE PL, TULSA, OK 74136-1201
(918) 749-9357
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
121
OK
Other
Enumeration date
08/16/2006
Last updated
07/28/2008
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