Stacy Lynette Booth, MA

NPI #1861373953 in Columbus, Ohio

Provider Information

NPI Number: 1861373953
Entity Type: Individual
Name: Stacy Lynette Booth, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center
Credential: MA
Enumeration Date: Sep 8, 2025
Last Updated: Sep 8, 2025

Practice Location

Address: 50 W PARK AVE
City: Columbus
State: Ohio
ZIP Code: 43222-1342
Phone: (614) 505-3126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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