Individual provider · Type 1 NPI

Spencer Jenkins Booth, PSYD, HSPP

Clinical Psychologist · Fort Wayne, IN

NPI number 1730495813 Active

Practice location

9329 Illinois Rd
Fort Wayne, IN 46804-5796

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	20041340A (IN)
Intellectual & Developmental Disabilities Psychologist	103TM1800X	None listed

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…

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About NPI 1730495813

Spencer Jenkins Booth, PSYD, HSPP's National Provider Identifier is 1730495813, issued on Aug 26, 2010. 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.