Organization · Type 2 NPI
Grant Booth PA dba Booth Therapy
Mental Health Clinic/Center (Including Community Mental Health Center) · St. Paul, MN
NPI number
1861915001
Active
Practice location
1499 Lincoln Ave
St. Paul, MN 55105-2236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1861915001
Grant Booth PA dba Booth Therapy's National Provider Identifier is 1861915001, issued on Jul 19, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Paul, MN. The record was last updated on Jul 21, 2022.