Individual
KELLIE ANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAS
Contact information
Practice address
88 WATERHOUSE ST, PLATTSBURGH, NY 12901-3620
(518) 645-2424
Mailing address
88 WATERHOUSE ST, PLATTSBURGH, NY 12901-3620
(518) 645-2424
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2774946
NY
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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