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MARYAM BOOTH NPI 1316574247


NPI Information

NPI: 1316574247
Provider Name: MARYAM BOOTH
Classification: Licensed Psychiatric Technician - 167G00000X
Entity Type: Individual
Address:
12440 FIRESTONE BLVD STE 3020
NORWALK, CA
ZIP 90650
Phone: (562) 864-7821
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Maryam Booth is a licensed psychiatric technician in Norwalk, CA. The provider is an individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. Maryam Booth NPI is 1316574247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12440 FIRESTONE BLVD STE 3020
NORWALK, CA
ZIP 90650-328
Phone: (562) 864-7821

The enumeration date for this NPI number is 3/23/2020 and was last updated on 3/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1167G00000XLicensed Psychiatric Technician41591CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.