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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
35S100439900NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Consultation Association, Inc Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Lawrenceville, NJ · Clinical Psychologist in New Jersey

Sources for this page

Verify at the official NPI Registry.