Provider Demographics
NPI:1306010459
Name:BOOTH, CATHY JAMES (CCC-SLP, BCBA)
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:JAMES
Last Name:BOOTH
Suffix:
Gender:F
Credentials:CCC-SLP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 KINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-3043
Mailing Address - Country:US
Mailing Address - Phone:603-382-8735
Mailing Address - Fax:
Practice Address - Street 1:65 KINGSTON RD
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-3043
Practice Address - Country:US
Practice Address - Phone:603-382-8735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-19
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA242103K00000X
1-07-3292103K00000X
MA6723235Z00000X
NH0784235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH66Y011066NH01OtherBLUE CROSS BLUE SHIELD