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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIRSTY E BORTNIK, PH.D.

Active

KIRSTY E BORTNIK, PH.D. is a Clinical Neuropsychologist healthcare provider located in SANTA MONICA, California. NPI 1376748780 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · SANTA MONICA, CA

Registration Details

NPI Number
1376748780
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2007 (19.151737106551 yrs)
Last Updated
Jan 9, 2024
Licenses
32126 (CA)
019916 (NY)
32126 (CA)

Practice Information

Address
1301 20TH ST STE 150
SANTA MONICA, CA, 904042050
Browse CA providers · Browse ZIP 90404
Phone
3104582764
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in SANTA MONICA, CA

Name Credential NPI
LOUIS F. DELIA IV PH.D. 1962519835
DR. JOHN CHARLES FRIEL PSY.D. 1316025240
DR. STELLA PANOS PH.D. 1104252352
HUSSAH ALKHARAFI 1447890116
DR. GABRIELLE WEINBERG BODOW PH.D 1184479065
DR. SHANNEL HELEN KASSIS ELHELOU PSY.D. 1306662697
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.