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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA GUSTAFSON PORTER, PHD

Active

LAURA GUSTAFSON PORTER, PHD is a Clinical Psychologist healthcare provider located in POWELL, Tennessee. NPI 1720087901 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · POWELL, TN

Registration Details

NPI Number
1720087901
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2005 (21.030307879222 yrs)
Last Updated
Nov 30, 2017
Licenses
2546(PROVISIONAL) (TN)
P2546 (TN)

Practice Information

Address
7714 CONNER RD STE 105
POWELL, TN, 378493559
Browse TN providers · Browse ZIP 37849
Phone
8659476220
Fax
8655121069
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in POWELL, TN

Name Credential NPI
ADAIR ALLEN PH. D. 1720087216
WILLIAM ALLAN RICHARDS JR. PHD 1639178684
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.