Booth & Company, Inc. in Fort Wayne - Clinical
Booth & Company, Inc. - NPI 1679694327
Booth & Company, Inc. is a Clinical in Fort Wayne, Indiana. Booth & Company, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Booth & Company, Inc. is 1679694327. The last update date is 2014-01-31.
Booth & Company, Inc.'s current location address is 3240 Mallard Cove Ln, Fort Wayne, Indiana. You can contact this provider via phone number 2607555896 and fax number 2607555927. The mailing address for Booth & Company, Inc. is 3240 Mallard Cove Ln, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Booth & Company, Inc. |
|---|---|
| Address | 3240 Mallard Cove Ln, Fort Wayne, Indiana |
| Phone Number | 2607555896 |
| Fax Number | 2607555927 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Booth Jenkins Spencer |
| Credentials | PSY.D., HS |
| Telephone Number | 2607555896 |
NPI Number Detail
| NPI Number | 1679694327 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2014-01-31 |
Provider Mailing Address Detail
| Address | 3240 Mallard Cove Ln |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468042883 |
| Phone Number | 2607555896 |
| Fax Number | 2607555927 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041340A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200311450 | IN | -- |
Post Comment/ Review Below
What is the Booth & Company, Inc.'s 1679694327?
The Booth & Company, Inc.'s NPI (National Provider Identifier) Number is 1679694327. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Booth & Company, Inc. is physically located?
The Booth & Company, Inc. is physically situated at the following address: 3240 Mallard Cove Ln, Fort Wayne, IN, 468042883.
What is Booth & Company, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Booth & Company, Inc. is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679694327 to Booth & Company, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1679694327 to Booth & Company, Inc. on 2007-04-02.
When was the information regarding Booth & Company, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Booth & Company, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-31.
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