Individual
DR. CAROL JEAN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
776 FARMINGTON AVE, WEST HARTFORD, CT 06119-1677
(860) 570-0123
(860) 233-7606
Mailing address
776 FARMINGTON AVE, WEST HARTFORD, CT 06119-1677
(860) 570-0123
(860) 233-7606
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002294
CT
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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