| Doctor Name: | MRS. PENELOPE SUE WHITAKER BOOHER |
| NPI Number: | 1255475612 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 11085 |
| Business Practice Address: | 811 W John St Yorkville, IL - 605609249 |
| Business Phone Number: | 6305539100 |
| Business Fax Number: | 6305530167 |
| Mailing Address: | 811 W John St, YORKVILLE |
| State: | IL |
| Postal Code: | 605609249 |
| Phone Number: | 6305539100 |
| Fax Number: | 6305530167 |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 11085 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |