Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SPENCER JENKINS BOOTH, PSYD, HSPP
ActiveDR. SPENCER JENKINS BOOTH, PSYD, HSPP is a Clinical Psychologist healthcare provider located in FORT WAYNE, Indiana. NPI 1730495813 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1730495813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2010 (16.003724906969 yrs)
- Last Updated
- Oct 1, 2024
- License
-
20041340A (IN)
Practice Information
- Address
-
9329 ILLINOIS RDFORT WAYNE, IN, 468045796Browse IN providers · Browse ZIP 46804
- Phone
- 2604174885
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Organizational & Business Psychologist
Other Clinical Psychologist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN GERARD ROSS | PSYD | 1467458695 |
| DIANA OSBORNE | PH.D. | 1346247830 |
| MR. JERE W LEIB | PH.D. | 1457350506 |
| RODNEY E TIMBROOK | PH.D. | 1932108982 |
| DR. SCOTT W SALON | PH.D. | 1942209846 |
| HEIDI L MUSGRAVE | PH.D | 1639161532 |
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.