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Contact Information

DEBORAH BOOTH, M.ED.,LPC
2912 ENTERPRISE DR
DURANT, OK74701-1963
 Phone: 580-380-1495
 Fax: 580-920-2745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for DEBORAH BOOTH · (Female)

NPI Number 1952510976
Status Active
Credentials M.ED.,LPC
Entity Individual
Enumeration date 05/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 3253
  • OK Other 3253 LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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