Individual
DR. BETH BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
14448 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 701-2471
(813) 701-2471
Mailing address
6 S DRAGONWOOD PL, THE WOODLANDS, TX 77381-6128
(328) 257-0318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
14063
TX
103TC0700X
Clinical Psychologist
Primary
PY10428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1823049-02
—
TX
05
—
182304901
—
TX
Enumeration date
12/20/2006
Last updated
07/05/2019
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