| NPI | 1679694327 |
|---|---|
| Doing Business As | BOOTH & COMPANY |
| Doing Business As | GREAT LAKES PSYCHOLOGICAL ASSESSMENT |
| Entity Type | Organization |
| Authorized Contact | SPENCER JENKINS BOOTH President 260-417-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041340A) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-10-01 |