Individual
DR. SARAH EMMA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6510 GRAND TETON PLZ STE 102, SUITE 24, MADISON, WI 53719
(608) 556-9110
(608) 204-0094
Mailing address
6510 GRAND TETON PLAZA SUITE 102, MADISON, WI 53719-1031
(608) 841-1606
(608) 492-2573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
319857
WI
Other
Enumeration date
09/04/2014
Last updated
06/21/2018
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