Organization
NORTH FLORIDA NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PORTER LMHC, PHD (OWNER)
(850) 631-1365
Entity
Organization
Contact information
Practice address
1614 MAHAN CENTER BLVD STE 104, TALLAHASSEE, FL 32308-5475
(850) 765-7292
Mailing address
2055 THOMASVILLE RD APT C306, TALLAHASSEE, FL 32308-0797
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
08/19/2020
Last updated
10/22/2020
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