Organization
FORTNEY THERAPEUTICS PLC
Active
Other names
Dr. Tim Fortney
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY FORTNEY PSY.D. (PSYCHOLOGIST)
(239) 443-0498
Entity
Organization
Contact information
Practice address
100 RIALTO PL, SUITE 754, MELBOURNE, FL 32901-3055
(321) 728-9620
Mailing address
2760 GRAY FOX LN, ORLANDO, FL 32826-3693
(239) 443-0498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8142
FL
Other
Enumeration date
01/25/2011
Last updated
02/04/2011
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