Porter, Scott S

Porter, Scott S is an individual health care provider with primary practice located at 1614 Mahan Center Blvd Ste 104 , Tallahassee FL 32308-5475. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Porter, Scott S can be contacted via phone (850) 765-7292.

Contact Information

Primary practice address
1614 Mahan Center Blvd Ste 104 Tallahassee FL 32308-5475
Phone: (850) 765-7292
Fax: (850) 765-5938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X PY10129 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10129 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 374 North Dakota
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY10129 Florida

Profile Details

NPI number 1841218443
LBN Legal business name Porter, Scott S
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841218443 NPPES
North Dakota MEDICAID 13124
North Dakota MEDICAID 372126400
North Dakota MEDICAID JJ944Z

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