Individual
TAYLOR PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 CHURCHILL DR, VIRGINIA BEACH, VA 23464-2905
(757) 648-4700
Mailing address
912 S BIRDNECK RD, VIRGINIA BEACH, VA 23451-4802
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0608620
VA
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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