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Individual

ASHLAE L PORTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1888
(443) 923-1870
Mailing address
1741 ASHLAND AVE, ATTN: PATIENT ACCOUNTING, BALTIMORE, MD 21205-1531
(616) 835-1964

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07351
MD

Other

Enumeration date
09/07/2022
Last updated
08/21/2025
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