Cassianne Summerlin Booth PH.D.

NPI 1831128339 - Psychologist - 103TC0700X

NPI Details
NPI 1831128339
Gender Female
Enumeration Date 06/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
708 MOBJACK PL
NEWPORT NEWS VA, 23606-1957, US
Phone (757) 873-1958
Fax (757) 873-2143
Business Location
708 MOBJACK PL
NEWPORT NEWS VA, 23606-1957, US
Phone (757) 873-1958
Fax (757) 873-2143
Toxanomy
Taxonomy Code 103TC0700X
License State Virginia
License Number 0810001464
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According to our database, Dr. Cassianne Summerlin Booth PH.D. NPI is 1831128339, taxonomy code is 103TC0700X and license number is 0810001464, license state is located at Virginia. Cassianne Summerlin Booth PH.D. physically located at 708 Mobjack Pl, Newport News VA, 23606-1957. NPI Number Cassianne Summerlin Booth PH.D. has the Individual type.

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1831128339 NPI number is provided on an as is basis without warranty of any kind. 1831128339 is maintained by the National Plan & Provider Enumeration System. The contents of Cassianne Summerlin Booth PH.D. are for informational purposes only.