DR. Nicholas Porta, PSYD
NPI #1013387687 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1013387687
- Entity Type
- Individual
- Name
- DR. Nicholas Porta, PSYD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PSYD
- Enumeration Date
- Sep 25, 2015
- Last Updated
- Mar 21, 2018
Practice Location
- Address
- 2514 1/2 WESLEY ST STE 2
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-1754
- Phone
- (423) 529-0385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Psychologist |
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