Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Spencer Jenkins Booth, PSYD, HSPP

Individual provider Clinical Psychologist · NPI 1730495813

Dr. Spencer Jenkins Booth, PSYD, HSPP is a Clinical Psychologist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

9329 Illinois Rd
Fort Wayne, IN 46804-5796
Phone: (260) 417-4885
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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)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X

Record details

NPI number1730495813
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , HSPP
Sole proprietorNo
NPI enumeratedAugust 26, 2010
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

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