Individual
DR. BRET A BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1540 SUNDAY DR, SUITE 200, RALEIGH, NC 27607-6000
(919) 859-9040
(919) 859-9030
Mailing address
1502 W NC HIGHWAY 54, STE 103, DURHAM, NC 27707-5572
(919) 859-9040
(919) 859-9030
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3637
NC
103TC0700X
Clinical Psychologist
3637
NC
Other
Enumeration date
10/06/2008
Last updated
05/09/2017
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