Individual
MICHELLE AIMEE FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 MEDICAL PLAZA DR, IRVINE, CA 92697-0001
(949) 824-7246
Mailing address
505 S MAIN ST, SUITE 940, ORANGE, CA 92868-4509
(714) 480-0067
(714) 480-0733
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY22312
CA
Other
Enumeration date
04/06/2007
Last updated
10/08/2009
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