National Provider Identifier

Julia Elizabeth Fortner

Julia Elizabeth Fortner is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 853-1335.

NPI 1790378685Buffalo, NYCounselor

Profile Overview

NPI
1790378685
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
February 11, 2021
Last Updated
February 11, 2021

Practice Location

  • 430 Niagara St
  • Buffalo, NY 14201-1886

Phone: (716) 853-1335

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1790378685
Entity Type
Individual
Last Name
Fortner
First Name
Julia
Middle Name
Elizabeth
Mailing Street Address
430 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14201-1886
Mailing Country
US
Practice Street Address
430 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-1886
Practice Country
US
Practice Phone
(716) 853-1335
Practice Fax
(716) 853-1598
Enumeration Date
February 11, 2021
Last Updated
February 11, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
February 11, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)