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Individual

THOMAS ALBERT PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.S.

Contact information

Practice address
6470 PEARL RD, PARMA HEIGHTS, OH 44130-2929
(440) 663-0037
(440) 663-0040
Mailing address
3100 EUCLID AVE, CLEVELAND, OH 44115-2508
(216) 361-4400
(216) 361-2340

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP618
OH

Other

Enumeration date
05/18/2017
Last updated
03/17/2018
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