Individual
DANIELLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 E 29TH ST, BRYAN, TX 77802-2622
(979) 776-8440
Mailing address
3101 RED ROBIN LOOP, BRYAN, TX 77802-3028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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