DR. CASSIANNE SUMMERLIN BOOTH PH.D. - NPI 1831128339 - Psychologist in Newport News, VA

Q: What is Cassianne Booth's NPI number?

The NPI number for Cassianne Booth is 1831128339. It was assigned to this individual provider in the NPPES registry on June 30, 2006. The provider is also known as Cassianne Summerlin.

Q: What is Cassianne Booth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Cassianne Booth was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Cassianne Summerlin Booth Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CASSIANNE SUMMERLIN BOOTH PH.D. (NPI 1831128339) is an individual clinical provider in Newport News, Virginia, licensed in Virginia (0810001464) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1831128339

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CASSIANNE SUMMERLIN BOOTHCredential: PH.D.

Location Address708 MOBJACK PLNewport News, VA 23606-1957

Mailing Address708 Mobjack PlNewport News, VA 23606-1957 · (757) 873-1958 · Fax (757) 873-2143

Phone(757) 873-1958

Fax(757) 873-2143

Sole ProprietorNo

Enumeration DateJune 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1831128339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810001464

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

708 MOBJACK PL, Newport News, VA 23606

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Other Names 1

Former Name (1)Cassianne Summerlin

Other Identifiers 3

Other056563VA · Anthem Bc/bs

Other080925VA · Sentara

Other219661VA · Mamsi

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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