Individual
DR. MAGNA PARKS PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
936 JEFF RD NW, HUNTSVILLE, AL 35806-1238
(256) 837-2127
Mailing address
201 WATER HILL RD APT A19, MADISON, AL 35758-2912
(678) 665-7968
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1839
GA
103TC1900X
Counseling Psychologist
1971
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00598683
—
GA
Enumeration date
01/03/2007
Last updated
07/21/2022
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