Individual
DR. TIFFANY GANELL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
620 E BROAD ST STE 301, COLUMBUS, OH 43215-4037
(614) 914-6690
Mailing address
620 E BROAD ST STE 301, COLUMBUS, OH 43215-4037
(614) 914-6690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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