Provider Demographics
NPI:1952429342
Name:FORBES, FORESTEEN (PSY D, R N)
Entity Type:Individual
Prefix:DR
First Name:FORESTEEN
Middle Name:
Last Name:FORBES
Suffix:
Gender:F
Credentials:PSY D, R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11401 BLOOMFIELD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650
Mailing Address - Country:US
Mailing Address - Phone:562-651-2270
Mailing Address - Fax:562-863-2991
Practice Address - Street 1:11401 BLOOMFIELD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650
Practice Address - Country:US
Practice Address - Phone:562-651-2270
Practice Address - Fax:562-863-2991
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21049103TC0700X
CA256531163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No163W00000XNursing Service ProvidersRegistered Nurse