Joanne Elizabeth Booth, PH.D.
Individual provider Active NPI Clinical Psychologist · Lawrenceville, NJ
NPI 1609095876 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609095876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 35S100439900 (NJ)
- Practice address
- 3100 Princeton Pike
Building 3, Suite B
Lawrenceville, NJ 08648-2300 - Phone
- (609) 895-0775
- Fax
- (609) 895-0394
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100439900 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercer Consultation Association, Inc | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35S100439900 | NJ | Yes |
Addresses
Primary practice location
3100 Princeton Pike
Building 3, Suite B
Lawrenceville, NJ 08648-2300
Mailing address
1 Pennington Lawrenceville Rd
Pennington, NJ 08534-3212
Phone (609) 730-1167
Other providers in Lawrenceville, NJ
- Adam Gary Blake
- Camille Ann Bloomberg
- Paul Kofi Boahene
- Rikki Ellyn Bobchin
- Stacy Bodine
- Amanda Bordfeld Ferguson
- Briana Botros
- Michele F Bowes
- Michael P. Boyle
- Stephan Brautigam
All providers in Lawrenceville, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.