DR. Shannon L Porter, PSY.D

NPI #1467998518 in Columbus, Ohio

Provider Information

NPI Number: 1467998518
Entity Type: Individual
Name: DR. Shannon L Porter, PSY.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Forensic
Credential: PSY.D
Enumeration Date: Jan 13, 2017
Last Updated: Jan 13, 2017

Practice Location

Address: 2200 W BROAD ST
City: Columbus
State: Ohio
ZIP Code: 43223-1297
Phone: (614) 752-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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