Fortunato, Jessica Victoria

Fortunato, Jessica Victoria is an individual health care provider with primary practice located at 154 Waterman St , Providence RI 02906. 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. Fortunato, Jessica Victoria can be contacted via phone (401) 273-3322.

Contact Information

Primary practice address
154 Waterman St Providence RI 02906
Fax: (401) 270-5700
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS00986 Rhode Island

Profile Details

NPI number 1215004445
LBN Legal business name Fortunato, Jessica Victoria
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
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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