Wortman, Kristen Marie
Wortman, Kristen Marie is an sole proprietor health care provider with primary practice located at 55 Santa Clara Ave Ste 165 , Oakland CA 94610-1333. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wortman, Kristen Marie can be contacted via phone (510) 485-0008.Contact Information
Primary practice address
55 Santa Clara Ave Ste 165
Oakland CA 94610-1333
Phone: (510) 485-0008
Fax: (510) 485-0009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY31275 | California |
Profile Details
| NPI number | 1518390350 |
|---|---|
| LBN Legal business name | Wortman, Kristen Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2013 |
| Last updated | Apr 8th, 2021 - about 5 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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