Organization · Type 2 NPI

Booth & Company, Inc.

Clinical Psychologist · Fort Wayne, IN

NPI number 1679694327 Active

Practice location

9329 Illinois Rd
Fort Wayne, IN 46804-5796

Fax (260) 755-5927

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	20041340A (IN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

6 other providers at this address

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NPI record

NPI: 1679694327
Entity type: Organization (Type 2)
Issued: Apr 2, 2007
Last updated: Oct 1, 2024
Status: Active

Other names

<unavail>
Booth & Company · doing business as
Booth & Company · doing business as
Great Lakes Psychological Assessment · doing business as

Authorized official

Dr. Spencer Jenkins Booth, PSY.D., HSPP
President
(260) 417-4885

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679694327

Booth & Company, Inc.'s National Provider Identifier is 1679694327, issued on Apr 2, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 1, 2024.