Individual
DR. DAVID MICHAEL PORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1428 WATER MILL CIR, VIRGINIA BEACH, VA 23454-1359
(757) 642-2567
(757) 233-0201
Mailing address
1428 WATER MILL CIR, VIRGINIA BEACH, VA 23454-1359
(757) 642-2567
(757) 233-0201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001188
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007704224
—
VA
05
—
007704232
—
VA
05
—
007705557
—
VA
Enumeration date
09/20/2006
Last updated
07/11/2010
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