NPI 1013931187

Phil T Porter, PSYCHOLOGIST

Practitioner Psychologist Oskaloosa, IA

Practice location

Address: 1229 C Ave E #300, Oskaloosa, IA 52577-4246
Phone: (641) 672-3159
Fax: (641) 672-3259
Mailing address: 1229 C Avenue East #300, Oskaloosa, IA 52577

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 00095 (IA)

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Registry record

NPI: 1013931187
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2006
Record last updated: 8 Jul 2007

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.