Fortman, Jay

Fortman, Jay is an sole proprietor health care provider with primary practice located at 5276 Hollister Ave Ste 301 , Santa Barbara CA 93111-2071. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Fortman, Jay can be contacted via phone (805) 967-2166.

Contact Information

Primary practice address
5276 Hollister Ave Ste 301 Santa Barbara CA 93111-2071
Phone: (805) 967-2166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT19427 California

Profile Details

NPI number 1477729143
LBN Legal business name Fortman, Jay
Credentials PH.D., MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2008
Last updated May 2nd, 2008 - about 16 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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