Individual
BRENDA B BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1885 LAKE AVE, ELYRIA, OH 44035-2551
(440) 233-2271
Mailing address
224 OAKDALE DR, SOUTH AMHERST, OH 44001-2846
(440) 986-6550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 4265
OH
Other
Enumeration date
02/13/2014
Last updated
05/09/2017
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