Raydell Booth, PH.D.
Psychologist · Eagle, ID
Practice location
4060 E Chinden BlvdEagle, ID 83616-6481
- Phone
- (208) 377-1131
- Fax
- (208) 377-1171
NPI record
- NPI
- 1184661175
- Entity type
- Individual (Type 1)
- Enumeration date
- May 31, 2006
- Last updated
- February 19, 2020
- Certified
- February 19, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
PSY211 | ID |
Mailing address
13945 W Wainwright Dr #106Boise, ID 83713-1925
- Phone
- (208) 377-1131
- Fax
- (208) 377-1171
About Dr. Booth
Raydell Booth, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 4060 E Chinden Blvd, Eagle, ID 83616-6481. The NPI number 1184661175 was assigned on May 31, 2006 and the record was last updated on February 19, 2020.
Dr. Booth lists a license in the registry: #PSY211 (ID) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Raydell Booth, PH.D.?
The NPI number is 1184661175.
What is the phone number of Dr. Booth?
The phone number listed for the practice location is (208) 377-1131.
Where is Dr. Booth located?
4060 E Chinden Blvd, Eagle, ID 83616-6481.
What is the taxonomy code for Dr. Booth?
The primary taxonomy code is 103T00000X – Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.