| Doctor Name: | MRS. OLGA LOUISE BOOTH |
| NPI Number: | 1285681817 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, NCC, LGPC |
| License Number: | LGPC #147 |
| Business Practice Address: | 8203 Harford Rd Parkville, MD - 212345888 |
| Business Phone Number: | 8004915369 |
| Business Fax Number: | |
| Mailing Address: | 2811 Deep Landing Rd, HUNTINGTOWN |
| State: | MD |
| Postal Code: | 206399586 |
| Phone Number: | 1800491536 |
| Fax Number: | 4108821898 |
| NPI Enumeration Date: | 05/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | LGPC #147 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |