Forman, Jennifer

Forman, Jennifer is an sole proprietor health care provider with primary practice located at 2000 Broadway St Ste. 271, Redwood City CA 94063-1802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Forman, Jennifer can be contacted via phone (650) 224-2790.

Contact Information

Primary practice address
2000 Broadway St Ste. 271 Redwood City CA 94063-1802
Phone: (650) 224-2790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 21151 California

Profile Details

NPI number 1366816233
LBN Legal business name Forman, Jennifer
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2015
Last updated Nov 16th, 2015 - about 11 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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