Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER T BOODRO, PH.D.
Active Sole ProprietorDR. JENNIFER T BOODRO, PH.D. is a Psychologist healthcare provider located in FISHERS, Indiana. NPI 1417180183 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FISHERS, IN
Registration Details
- NPI Number
- 1417180183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2009 (16.935950010715 yrs)
- Last Updated
- Feb 12, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
10100 LANTERN RDSUITE 125FISHERS, IN, 46037Browse IN providers · Browse ZIP 46037
- Phone
- 3177753942
- Fax
- 3177753942
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in FISHERS, IN
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTINE M LIEDTKE | PSY.D., HSPP | 1801196282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.