Individual
DR. ELLEN MOORE BOOHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1376
OK
103T00000X
Psychologist
Primary
5714
NC
Other
Enumeration date
06/11/2007
Last updated
03/21/2026
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