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Individual

DR. JAMES ALEXANDER FORTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
5266 HOLLISTER AVE STE 212, SANTA BARBARA, CA 93111-4041
(805) 451-1463
Mailing address
5266 HOLLISTER AVE STE 212, SANTA BARBARA, CA 93111-4041
(805) 451-1463

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY26321
CA
103T00000X
Psychologist
PSY26321
CA

Other

Enumeration date
05/02/2014
Last updated
12/06/2018
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