MR. Michael Sorenson
NPI #1710543301 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1710543301
- Entity Type
- Individual
- Name
- MR. Michael Sorenson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 20, 2019
- Last Updated
- May 20, 2019
Practice Location
- Address
- 1634 LONDON BLVD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-2137
- Phone
- (757) 393-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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