Booth, Kristi Lyn
Booth, Kristi Lyn is an individual health care provider with primary practice located at 415 E Parkcenter Blvd Suite 114, Boise ID 83706-6504. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Booth, Kristi Lyn can be contacted via phone (208) 433-9211.Contact Information
Primary practice address
415 E Parkcenter Blvd Suite 114
Boise ID 83706-6504
Phone: (208) 433-9211
Fax: (208) 433-9241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | OT495 | Idaho |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | OT00002780 | Washington |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1013068 | Oregon |
Profile Details
| NPI number | 1629052659 |
|---|---|
| LBN Legal business name | Booth, Kristi Lyn |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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