Male or Other

Dr. Bret A. Booth

Clinical Neuropsychologist in Raleigh, NC(View on Map)

Full Name

Dr. Bret A Booth

NPI Number

1578714846

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/06/2008

Specialties

(Taxonomies)

Code

103G00000X
103TC0700X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina

License Number

3637

Contact
Information

Purpose

Mailing
Location

Address

1502 W NC HIGHWAY 54
1540 SUNDAY DR

City

Durham
Raleigh

State

NC
NC

Postal Code

27707-5572
27607-6000

Country

US
US

Telephone Number

(919) 859-9040
(919) 859-9040

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/09/2017

Provider Address

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