RAYDELL BOOTH

EAGLE, ID
NPI1184661175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: ID  PSY211)
Enumeration Date2006-05-31
Last Update Date2020-02-19
Business Address
RAYDELL BOOTH Ph.D.
4060 E CHINDEN BLVD
EAGLE, ID 83616-6481
Phone number: 208-377-1131
Mailing Address
RAYDELL BOOTH Ph.D.
13945 W WAINWRIGHT DR #106
BOISE, ID 83713-1925
Phone number: 208-377-1131
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