| NPI | 1316050370 |
|---|---|
| Doing Business As | KERRY G. BOOTH, PH. D., P.C. |
| Entity Type | Organization |
| Authorized Contact | KERRY G. BOOTH President/Clinical Psychologist 918-749-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 121) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-07-28 |