DR. Portia Lucille Pieterse, PH.D.

NPI #1194035030 in Albany, New York

Provider Information

NPI Number: 1194035030
Entity Type: Individual
Name: DR. Portia Lucille Pieterse, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Oct 13, 2010
Last Updated: Oct 13, 2010

Practice Location

Address: 25 HACKETT BLVD
Address 2: 2ND FLOOR
City: Albany
State: New York
ZIP Code: 12208-3462
Phone: (518) 262-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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