Individual
KIMBERLY W BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 N LITTLE SCHOOL RD, SUITE B, ARLINGTON, TX 76017-1900
(817) 533-0823
(817) 391-1444
Mailing address
601 WALNUT BEND DR, MANSFIELD, TX 76063-5844
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194228601
—
TX
Enumeration date
10/16/2006
Last updated
04/18/2012
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