Individual
EMILY FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 REDWOOD HWY FRONTAGE RD, MILL VALLEY, CA 94941-1621
(415) 924-2444
Mailing address
4487 SUNNYHILL ST, WESTLAKE VILLAGE, CA 91362-5112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20029
CA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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