Individual
THERESE J BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
758 CHAMBERLAIN PL, SUITE 201, SAINT LOUIS, MO 63119-2716
(314) 610-3232
(314) 918-7656
Mailing address
758 CHAMBERLAIN PL, SUITE 201, SAINT LOUIS, MO 63119-2716
(314) 610-3232
(314) 918-7656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01714
MO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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