Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARRELL L PORTMAN, PH.D.
Active Sole ProprietorDR. TARRELL L PORTMAN, PH.D. is a Mental Health Counselor healthcare provider located in RIVERSIDE, Iowa. NPI 1427301209 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · RIVERSIDE, IA
Registration Details
- NPI Number
- 1427301209
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2012 (14.025507072365 yrs)
- Last Updated
- Oct 19, 2012
- Licenses
-
00729 (IA)001247 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
361 EAST FIRST STREETRIVERSIDE, IA, 523279688Browse IA providers · Browse ZIP 52327
- Phone
- 3196482648
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.