Jay Fortman, PH.D., MFT

NPI 1477729143 · on the registry since 2008 · sole proprietor

Practice

Address: 5276 Hollister Ave Ste 301
Santa Barbara, CA 93111
Phone: (805) 967-2166
Organisation at this address: Lacey Peters
Hearts Aligned Inc.
Dawn M Terashita, Pc
Pacific Medical, Inc.
Elizabeth Ciuffini Fairfield
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California