Individual
DR. COREY ALAN BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
723 9TH AVE, HUNTINGTON, WV 25701-2718
(304) 529-0645
(304) 529-3026
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
WV
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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