Individual
DR. SHANNON L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Mailing address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
7313
OH
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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