Theresa Porter, PSY

NPI #1407070923 in Meriden, Connecticut

Provider Information

NPI Number: 1407070923
Entity Type: Individual
Name: Theresa Porter, PSY
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY
Enumeration Date: Apr 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 883 PADDOCK AVE
City: Meriden
State: Connecticut
ZIP Code: 06450-7044
Phone: (860) 223-3767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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