Jennifer Lynn Boothby, PH.D.

NPI #1114065380 in Terre Haute, Indiana

Provider Information

NPI Number
1114065380
Entity Type
Individual
Name
Jennifer Lynn Boothby, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Feb 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
INDIANA STATE UNIVERSITY PSYCHOLOGY CLINIC
Address 2
200 N. 7TH ST.
State
Indiana
ZIP Code
47809-0001
Phone
(812) 237-3317

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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