Bortz, Jennifer J

Bortz, Jennifer J is an sole proprietor health care provider with primary practice located at 2929 E Camelback Rd Ste 114, Phoenix AZ 85016-4425. 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. Bortz, Jennifer J can be contacted via phone (480) 795-4787.

Contact Information

Primary practice address
2929 E Camelback Rd Ste 114 Phoenix AZ 85016-4425
Phone: (480) 795-4787
Fax: (480) 795-7778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2060 Arizona
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 2060 Arizona

Profile Details

NPI number 1306823810
LBN Legal business name Bortz, Jennifer J
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2005
Last updated Dec 1st, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306823810 NPPES
Arizona Other 86080015085259A620 TRIWEST
Arizona MEDICAID 209016 TRIWEST
Arizona Other 680011757 TRIWEST

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