Healthcare Provider Details

I. General information

NPI: 1417872250
Provider Name (Legal Business Name): FORNEY PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 W STIMSON AVE
ATHENS OH
45701-2679
US

IV. Provider business mailing address

259 E STATE ST
ATHENS OH
45701-1824
US

V. Phone/Fax

Practice location:
  • Phone: 740-566-5979
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE JEAN FORNEY
Title or Position: OWNER
Credential: PHD
Phone: 513-509-5482