Jessica Victoria Fortunato in Providence - Clinical Child & Adolescent
Jessica Victoria Fortunato - NPI 1215004445
Jessica Victoria Fortunato is a Clinical Child & Adolescent in Providence, Rhode Island. Jessica Victoria Fortunato practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jessica Victoria Fortunato is 1215004445. The last update date is 2007-07-08.
Jessica Victoria Fortunato's current location address is 154 Waterman St, Providence, Rhode Island. You can contact this provider via phone number 4012733322 and fax number 4012705700. The mailing address for Jessica Victoria Fortunato is 154 Waterman St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Victoria Fortunato |
|---|---|
| Address | 154 Waterman St, Providence, Rhode Island |
| Phone Number | 4012733322 |
| Fax Number | 4012705700 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1215004445 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 154 Waterman St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 2906 |
| Phone Number | 4012733322 |
| Fax Number | 4012705700 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PS00986 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the Jessica Victoria Fortunato's unique identification number?
The Jessica Victoria Fortunato has been assigned the NPI (National Provider Identifier) Number 1215004445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jessica Victoria Fortunato?
The Jessica Victoria Fortunato is situated at 154 Waterman St, in the city of Providence, state of RI, with the zip code 2906.
What is Jessica Victoria Fortunato's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jessica Victoria Fortunato is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date was the 1215004445 assigned to Jessica Victoria Fortunato?
The Jessica Victoria Fortunato was issued its 1215004445 on 2006-11-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jessica Victoria Fortunato's information last updated?
The Jessica Victoria Fortunato's information was last updated on 2007-07-08.