Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MONICA BALLARD-BOOTH, MA, LSW
ActiveMS. MONICA BALLARD-BOOTH, MA, LSW is a Clinical Psychologist healthcare provider located in MADISON, West Virginia. NPI 1083167944 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MADISON, WV
Registration Details
- NPI Number
- 1083167944
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2016 (10.083794988712 yrs)
- Last Updated
- Jul 27, 2016
- Licenses
-
1135 (WV)AP00941739 (WV)
Practice Information
- Address
-
331 STATE STSUITE 300MADISON, WV, 251301367Browse WV providers · Browse ZIP 25130
- Phone
- 3043695283
- Fax
- 3043694800
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.