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Contact Information

MARYAM BOOTH
12440 FIRESTONE BLVD STE 3020
NORWALK, CA90650-9328
 Phone: 562-864-7821
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for MARYAM BOOTH · (Female)

NPI Number 1316574247
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2020
Last updated 03/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 41591
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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