Boone, Beth

Boone, Beth is an sole proprietor health care provider with primary practice located at 14448 Bruce B Downs Blvd , Tampa FL 33613-2612. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Boone, Beth can be contacted via phone (813) 701-2471.

Contact Information

Primary practice address
14448 Bruce B Downs Blvd Tampa FL 33613-2612
Phone: (813) 701-2471
Fax: (813) 701-2471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 14063 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10428 Florida

Profile Details

NPI number 1982768693
LBN Legal business name Boone, Beth
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982768693 NPPES
Texas MEDICAID 182304901
Texas MEDICAID 1823049-02

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