Individual
HEATHER BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E 8TH ST, WATSONTOWN, PA 17777-1033
(570) 538-2561
Mailing address
108 SNYDER LN, LEWISBURG, PA 17837-7521
(570) 523-8049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2009
Last updated
05/11/2010
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