Individual
GAIL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 LAKESIDE AVE E, CLEVELAND, OH 44114-1137
(216) 441-8091
Mailing address
11217 GOVERNOR AVE, CLEVELAND, OH 44111-3671
(216) 671-7548
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PSY CL1008922
OH
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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