Individual
DR. STEVEN PORTER
Active
Individual
DR. STEVEN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
05169
MD
103G00000X
Clinical Neuropsychologist
0810007291
VA
103G00000X
Clinical Neuropsychologist
PY7178
FL
Other
Enumeration date
12/12/2006
Last updated
01/19/2021
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