NPI 1578817581 · live from the CMS NPI Registry
Susan Allen Booth, LMFT
Marriage & Family Therapist in Commerce, GA. National Provider Identifier 1578817581, active.
NPI record
| NPI | 1578817581 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 3312 Apple Valley Rd, Commerce, GA 30529 |
| Practice phone | 706-202-2986 |
| Enumerated | October 30, 2012 |
| Last updated | October 30, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 001259 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.