Individual
CORINNA ANNE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
90 WEST 200 SOUTH, SUITE 2, HEBER CITY, UT 84032
(435) 671-0367
Mailing address
1500 E LIBERTY LN, HEBER CITY, UT 84032-3583
(435) 671-0367
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
357428-2501
—
Other
Enumeration date
05/17/2007
Last updated
10/01/2010
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