| NPI | 1922744101 |
|---|---|
| Former Legal Business Name | PORTER PSYCHOLOGICAL, APC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER DERGREGORIAN CEO 714-328-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2023-11-06 |