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Individual

DR. NICK FORTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
40 CRESCENT ST STE 102, WALTHAM, MA 02453-4313
(781) 609-7916
Mailing address
179 HIGHLAND AVE # 1009, SEEKONK, MA 02771-5818
(781) 609-7916

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9842
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9842
STATE LICENSE
MA
Enumeration date
10/08/2012
Last updated
10/20/2022
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