| Dr. Tim Fortney | |
|
100 Rialto Pl Suite 754 Melbourne FL 32901-3055 | |
| (321) 728-9620 | |
| Not Available |
| Full Name | Dr. Tim Fortney |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 100 Rialto Pl, Melbourne, Florida |
| Authorized Official Name and Position | Timothy Fortney (PSYCHOLOGIST) |
| Authorized Official Contact | 2394430498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tim Fortney 2760 Gray Fox Ln Orlando FL 32826-3693 Ph: (239) 443-0498 | Dr. Tim Fortney 100 Rialto Pl Suite 754 Melbourne FL 32901-3055 Ph: (321) 728-9620 |
| NPI Number | 1063717908 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063717908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8142 (Florida) | Primary |
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