Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PORTUM PRIVATE PRACTICE LLC
Active OrganizationPORTUM PRIVATE PRACTICE LLC is a Child, Clinical Psychologist organization located in ANNANDALE, New Jersey. NPI 1528802568 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · ANNANDALE, NJ
Registration Details
- NPI Number
- 1528802568
- Provider Type
- Organization
- NPI Issued
- Jun 24, 2024 (2.1817195021219 yrs)
- Last Updated
- Jun 24, 2024
Practice Information
- Address
-
1465 ROUTE 31 SANNANDALE, NJ, 088013129Browse NJ providers · Browse ZIP 08801
- Phone
- 7326140994
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.