Individual
LANCE PORTNOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
814 W CENTER AVE, SUITE H, VISALIA, CA 93291-6046
(805) 459-1961
Mailing address
814 W CENTER AVE, SUITE H, VISALIA, CA 93291-6046
(805) 459-1961
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY7522
CA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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