Individual
DR. ANN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1757 RALEIGH CT W APT 99B, OCEAN, NJ 07712-2630
(347) 200-2484
Mailing address
1757 RALEIGH CT W APT 99B, OCEAN, NJ 07712-2630
(347) 200-2484
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
16491
NY
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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