Individual provider · Type 1 NPI

Eileen M. Booth, PhD

Clinical Psychologist · Provo, UT

NPI number 1285651968 Active

Practice location

395 W Cougar Blvd Ste 601
Provo, UT 84604-3331

Fax (801) 357-7191

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 1034 N 500 W, Provo, UT 84604-3380 · (801) 357-7850

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X116525-2501 (UT)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1285651968

Eileen M. Booth, PhD's National Provider Identifier is 1285651968, issued on Jul 17, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Provo, UT. The record was last updated on Jun 15, 2026.