Forti, Nick
Forti, Nick is an sole proprietor health care provider with primary practice located at 40 Crescent St Ste 102 , Waltham MA 02453-4313. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Forti, Nick can be contacted via phone (781) 609-7916.Contact Information
Primary practice address
40 Crescent St Ste 102
Waltham MA 02453-4313
Phone: (781) 609-7916
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9842 | Massachusetts |
Profile Details
| NPI number | 1326390816 |
|---|---|
| LBN Legal business name | Forti, Nick |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2012 |
| Last updated | Oct 20th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326390816 | NPPES |
| Massachusetts | Other | 9842 | STATE LICENSE |
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