Bortnik, Kirsty E

Bortnik, Kirsty E is an individual health care provider with primary practice located at 1301 20Th St Ste 150 , Santa Monica CA 90404-2050. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Bortnik, Kirsty E can be contacted via phone (310) 458-2764.

Contact Information

Primary practice address
1301 20Th St Ste 150 Santa Monica CA 90404-2050
Phone: (310) 458-2764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32126 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 019916 New York
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 32126 California

Profile Details

NPI number 1376748780
LBN Legal business name Bortnik, Kirsty E
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jan 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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