Individual
DR. LAUREN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, MS
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 294-6048
Mailing address
20 ROE AVE, EAST PATCHOGUE, NY 11772-5736
(631) 294-6048
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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