TIM PORTINGA, PSYD LP
Psychologist - Clinical
Active
Individual
NPI: 1609924216
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | LP4699 (MN) |
Frequently Asked Questions
NPI 1609924216 is the National Provider Identifier for TIM PORTINGA, PSYD LP, a Psychologist - Clinical provider located in Plymouth, MN. This NPI was enumerated on January 8, 2007.
TIM PORTINGA, PSYD LP practices at 11505 36TH AVE N, Plymouth, MN 55441.
Quick Facts
- NPI
- 1609924216
- Type
- Individual
- Enumerated
- Jan 8, 2007
- Last Updated
- Jul 8, 2007
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