Booth & Company, Inc.
NPI #1679694327 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1679694327
- Entity Type
- Organization
- Organization Name
- Booth & Company, Inc.
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Oct 1, 2024
Practice Location
- Address
- 9329 ILLINOIS RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-5796
- Phone
- (260) 755-5896
Authorized Official
- Name
- DR. SPENCER JENKINS BOOTH, PSY.D., HSPP
- Title
- PRESIDENT
- Phone
- (260) 417-4885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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