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Spencer Booth, PSYD, HSPP
NPI 1730495813 · on the registry since 2010
Practice
- Address
- 9329 Illinois Rd
Fort Wayne, IN 46804 - Phone
- (260) 417-4885
- Organisation at this address
- Jay Bastian Llc
Booth & Company, Inc.
People And Pathways Consulting LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Also registered as
- Intellectual & Developmental Disabilities Psychologist
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-01
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