MS. MAE DENISE BOOTH (NPI# 1730341033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730341033 |
| Entity Type | Individual |
| Full Name | MS. MAE DENISE BOOTH |
| Credential | M.ED/CCC-SLP |
| Practice Address |
917 Hilltop Blvd Reidsville NC 27320-3413 |
| Practice Telephone | 3366138982 |
| Practice Fax Number | 3363429838 |
| Mailing Telephone | 3366138982 |
| Mailing Fax Number | 3363429838 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3570 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7411538 | 05 |
| Street Address |
917 HILLTOP BLVD |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1124539259 | James Chester Kopf Jr. | Speech-Language Pathologist | 305 Carter Ridge Dr, Reidsville, NC 27320-9634 | 2017-10-16 |
| 1689111312 | Metropolitan Milestones Center, LLC | Speech-Language Pathologist | 2199 Moir Mill Rd, Reidsville, NC 27320-8074 | 2017-01-19 |
| 1164682159 | Christy Whitt Gunter | Speech-Language Pathologist | 520 Hush Hickory Trce, Reidsville, NC 27320-8096 | 2008-06-12 |
| 1659996072 | Isabella Grace Arndt | Speech-Language Pathologist | 618a S Main St, Reidsville, NC 27320-5020 | 2020-06-11 |
| 1871085936 | Andrea Luppino | Speech-Language Pathologist | 618a S Main St, Reidsville, NC 27320-5020 | 2018-06-05 |
| 1083095574 | Amelia Yarbrough | Speech-Language Pathologist | 618 S Main St, Reidsville, NC 27320-5020 | 2015-06-10 |
| 1326447210 | Joelle Kaplan | Speech-Language Pathologist | 618 S Main St, Reidsville, NC 27320-5020 | 2014-08-18 |
| 1972843589 | Robert J Scifres | Speech-Language Pathologist | 618 S Main St, Reidsville, NC 27320-5020 | 2013-02-19 |
| 1225228786 | Tonya Burton | Speech-Language Pathologist | 618 S Main St, Reidsville, NC 27320-5020 | 2007-07-30 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on MS. MAE DENISE BOOTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.