Fortenberry, Katherine Thomas

Fortenberry, Katherine Thomas is an sole proprietor health care provider with primary practice located at 375 Chipeta Way Suite A, Salt Lake City UT 84108-1260. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fortenberry, Katherine Thomas can be contacted via phone (801) 587-3379.

Contact Information

Primary practice address
375 Chipeta Way Suite A Salt Lake City UT 84108-1260
Phone: (801) 587-3379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 50871 Mississippi
Behavioral Health & Social Service Providers / Clinical 103TC0700X 50871 Mississippi
Behavioral Health & Social Service Providers / Health 103TH0004X 8106647-2501 Utah
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8106647-2501 Utah

Profile Details

NPI number 1982902185
LBN Legal business name Fortenberry, Katherine Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2011
Last updated Oct 28th, 2021 - about 3 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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