Individual
LINDSEY BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 ADAIR ST, BECKLEY, WV 25801-3733
(304) 256-4622
Mailing address
800 COUNTRY CLUB DR, BEAVER, WV 25813-9140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14065325
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780852491
—
WV
Enumeration date
09/13/2021
Last updated
09/13/2021
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