Forman, Jessica
Forman, Jessica is an sole proprietor health care provider with primary practice located at 120 E 87Th St Apt P18B , New York NY 10128-1119. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Forman, Jessica can be contacted via phone (212) 987-3601.Contact Information
Primary practice address
120 E 87Th St Apt P18B
New York NY 10128-1119
Phone: (212) 987-3601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 017262 | New York |
Profile Details
| NPI number | 1629359948 |
|---|---|
| LBN Legal business name | Forman, Jessica |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2011 |
| Last updated | Aug 31st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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