Individual
DR. JOURDAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MED
Contact information
Practice address
1518 WALNUT ST STE 1100, PHILADELPHIA, PA 19102-3406
(601) 862-0343
Mailing address
225 S 44TH ST APT 2FL, PHILADELPHIA, PA 19104-2932
(601) 862-0343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019554
PA
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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