| Doctor Name: | JOSHUA DAVID BOOHER |
| NPI Number: | 1154320596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | P2549 |
| Business Practice Address: | 501 Adessa Pkwy Ste A-150 Lenoir City, TN - 377716725 |
| Business Phone Number: | 8659868082 |
| Business Fax Number: | 8659865890 |
| Mailing Address: | Department 888182, KNOXVILLE |
| State: | TN |
| Postal Code: | 379950001 |
| Phone Number: | 8003553565 |
| Fax Number: | 4237142355 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | P2549 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |