Individual
DR. MARY JOSEPHINE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3851 ROGER BROOKE DR, BUILDING 3600, FORT SAM HOUSTON, TX 78234-4501
(210) 916-3946
Mailing address
10203 BOXING PASS, SAN ANTONIO, TX 78251-3283
(210) 363-0882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32394
TX
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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