Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Booth & Company, Inc

Organization Clinical Psychologist · NPI 1679694327

Booth & Company, Inc provides Clinical Psychologist services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9329 Illinois Rd
Fort Wayne, IN 46804-5796
Phone: (260) 755-5896
Fax: (260) 755-5927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20041340A (IN)

Record details

NPI number1679694327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Spencer Booth — President · (260) 417-4885
Other names Booth & Company; Booth & Company; Great Lakes Psychological Assessment
NPI enumeratedApril 2, 2007
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address9329 Illinois Rd, Fort Wayne, IN 46804-5796

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