Individual provider · Type 1 NPI
Stacy Lynette Booth, MA
Clinic/Center · Columbus, OH
NPI number
1861373953
Active
Practice location
50 W Park Ave
Columbus, OH 43222-1342
Fax (614) 431-4601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Columbus
About NPI 1861373953
Stacy Lynette Booth, MA's National Provider Identifier is 1861373953, issued on Sep 8, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Columbus, OH. The record was last updated on Sep 8, 2025.