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Individual

DR. WILLIAM D BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2400 HOSPITAL RD, PAIN CLINIC (117), TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-3074
Mailing address
1526 BENEDICT PL, AUBURN, AL 36832-6763
(334) 727-0550
(334) 725-3074

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
778
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
778
STATE PSYCHOOGIST LISCENS
AL
Enumeration date
08/31/2006
Last updated
08/30/2010
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