Individual
MR. MICHAEL JAMES PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MO
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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