Boothby, Jennifer Lynn
Boothby, Jennifer Lynn is an individual health care provider with primary practice located at Indiana State University Psychology Clinic 200 N. 7Th St., Terre Haute IN 47809-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boothby, Jennifer Lynn can be contacted via phone (812) 237-3317.Contact Information
Primary practice address
Indiana State University Psychology Clinic 200 N. 7Th St.
Terre Haute IN 47809-0001
Phone: (812) 237-3317
Fax: (812) 237-8595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041760A | Indiana |
Profile Details
| NPI number | 1114065380 |
|---|---|
| LBN Legal business name | Boothby, Jennifer Lynn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| 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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