| NPI | 1063717908 |
|---|---|
| Doing Business As | DR. TIM FORTNEY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY FORTNEY Psychologist 239-443-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8142) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-02-04 |