NPI Profile for Dr LEONARD FORTNEY in ROME, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Behavior Analyst |
103K00000X | |||
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Counselor |
101Y00000X | |||
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1124398409 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/04/2012 | |
| Last updated | 01/04/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LEONARD FORTNEY
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