Fornberg, Jennifer Margaret

Fornberg, Jennifer Margaret is an sole proprietor health care provider with primary practice located at 33 N Main St , Falmouth MA 02540-2843. 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. Fornberg, Jennifer Margaret can be contacted via phone (508) 615-6592.

Contact Information

Primary practice address
33 N Main St Falmouth MA 02540-2843
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 8216 Massachusetts

Profile Details

NPI number 1316087554
LBN Legal business name Fornberg, Jennifer Margaret
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 18 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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