BRYAN BOOTH

TAMPA, FL
NPI1831583178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: FL  LCCT0302010409)
Enumeration Date2015-03-25
Last Update Date2015-03-25
Business Address
-- BRYAN BOOTH PHD
2712 E 122ND AVE
TAMPA, FL 33612-4715
Phone number: 727-831-0337
Mailing Address
-- BRYAN BOOTH PHD
2712 E 122ND AVE
TAMPA, FL 33612-4715
Phone number: