Individual
KATINA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8020 RIVER STONE DR, FREDERICKSBURG, VA 22407-8761
(540) 834-2500
Mailing address
8020 RIVER STONE DR, FREDERICKSBURG, VA 22407-8761
(540) 834-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000299
VA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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