Individual provider · Type 1 NPI

Laura Gustafson Porter, PhD

Clinical Psychologist · Powell, TN

NPI number 1720087901 Active

Practice location

7714 Conner Rd Ste 105
Powell, TN 37849-3559

Fax (865) 512-1069

Mailing address

6350 W Andrew Johnson Hwy Dept 100
Talbott, TN 37877-8605

Other practice locations

  • 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 · (423) 587-7337

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X2546(PROVISIONAL) (TN)
Clinical Psychologist Primary 103TC0700XP2546 (TN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1720087901

Laura Gustafson Porter, PhD's National Provider Identifier is 1720087901, issued on Jul 19, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Powell, TN. The record was last updated on Nov 30, 2017.