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Individual

JAMES A. BOOKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
40 STARK AVE, REVERE, MA 02151-2222
(781) 289-5127
Mailing address
40 STARK AVE, REVERE, MA 02151-2222
(781) 289-5127

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TF0000X
Family Psychologist
Primary
103TM1800X
Intellectual & Developmental Disabilities Psychologist

Other

Enumeration date
06/04/2012
Last updated
06/04/2012
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