Teddy Wayne Booth II LCSW

  • NPI 1215160403
According to our database, the NPI number for Teddy Wayne Booth II LCSW is 1215160403 and activated since 14 years ago. Teddy Wayne Booth II LCSW is an individual provider who specializes in Clinical, and the primary practice location is 109 W Watauga Ave, Johnson City, TN 37604. You can also contact Teddy Wayne Booth II LCSW via telephone number is (423) 232-2600. Provider NPI information was last updated on 11/11/2009.

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Overview of Teddy Wayne Booth II LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/03/2009
  • Last updated: 11/11/2009

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 1086
  • License State: KY

Provider Mailing Address

  • Address: 1167 Spratlin Park Dr
    Gray, TN 37615
  • Phone: 423-467-3600
  • Fax: 423-467-3644

Provider Practice Location

  • Address: 109 W Watauga Ave
    Johnson City, TN 37604
  • Phone: 423-232-2600
  • Fax: 423-467-3644

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 1086
  • License State: KY
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1215160403 WATAUGA
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: VA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Teddy Wayne Booth II LCSW?
  • A: The npi number for Teddy Wayne Booth II LCSW is 1215160403.
  • Q: What are Teddy Wayne Booth II LCSW's specialties?
  • A: Teddy Wayne Booth II LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Teddy Wayne Booth II LCSW?
  • A: The medical license number for Teddy Wayne Booth II LCSW is 1086 and issued in KY in USA.
  • Q: Where is Teddy Wayne Booth II LCSW practice location?
  • A: Teddy Wayne Booth II LCSW is practicing at 109 W Watauga Ave, Johnson City, TN 37604.
  • Q: How to contact Teddy Wayne Booth II LCSW?
  • A: You can contact Teddy Wayne Booth II LCSW via 423-232-2600.