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 |