Provider Demographics
NPI:1366616195
Name:BOOKSH, RANDEE L (PHD)
Entity type:Individual
Prefix:
First Name:RANDEE
Middle Name:L
Last Name:BOOKSH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 N ARNOULT RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5949
Mailing Address - Country:US
Mailing Address - Phone:504-455-0109
Mailing Address - Fax:504-834-8802
Practice Address - Street 1:2626 N ARNOULT RD
Practice Address - Street 2:SUITE 220
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5949
Practice Address - Country:US
Practice Address - Phone:504-455-0109
Practice Address - Fax:504-834-8802
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1074103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical