NPI 1013387687

Nicholas Porta, PSYD

Practitioner Psychologist Johnson City, TN

Practice location

Address: 2514 1/2 Wesley St STE 2, Johnson City, TN 37601-1754
Phone: (423) 529-0385
Fax: (423) 414-2699

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence P0000003473 (TN)

Other Psychologist providers in Tennessee →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2015033025 (MO)

Other Counselor providers in Tennessee →

Registry record

NPI: 1013387687
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2015
Record last updated: 21 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.