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Search › Indiana › 101YM0800X

Sam Booth, M.A

NPI 1063380475 · on the registry since 2025 · sole proprietor

Practice

Address
9329 Illinois Rd
Fort Wayne, IN 46804
Phone
(260) 444-6045
Organisation at this address
Jay Bastian Llc
Booth & Company, Inc.
People And Pathways Consulting Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2025-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana