Individual
STEPHANIE LYNN BOOTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
2001 E GRACE ST, #230, RICHMOND, VA 23223-7062
(434) 962-7157
Mailing address
2001 E GRACE ST, #230, RICHMOND, VA 23223-7062
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004985
VA
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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