| Dr Spencer Jenkins Booth, PSYD, HSPP | |
|
9329 Illinois Rd, Fort Wayne, IN 46804-5796 | |
| (260) 417-4885 | |
| Not Available |
| Full Name | Dr Spencer Jenkins Booth |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 9329 Illinois Rd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730495813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041340A (Indiana) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer Jenkins Booth, PSYD, HSPP 9329 Illinois Rd, Fort Wayne, IN 46804-5796 Ph: (260) 417-4885 | Dr Spencer Jenkins Booth, PSYD, HSPP 9329 Illinois Rd, Fort Wayne, IN 46804-5796 Ph: (260) 417-4885 |
Ms. Shauna Marie Croarkin, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Barr St, Fort Wayne, IN 46802 Phone: 260-467-1124 Fax: 260-467-1188 | |
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409 | |
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612 | |
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902 | |
Michele Lynn Grimm, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Clinton St, Fort Wayne, IN 46802 Phone: 260-467-1150 Fax: 260-467-1188 | |
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361 | |
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559 |