Individual
DR. WILLIAM WALES PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
967 FILLMORE ST, DENVER, CO 80206-3851
(303) 399-3542
Mailing address
967 FILLMORE ST, DENVER, CO 80206-3851
(303) 399-3542
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
855
CO
Other
Enumeration date
12/14/2009
Last updated
08/17/2010
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