Individual provider · Type 1 NPI

Kaitlin J. Portz, PhD

Clinical Psychologist · St. Louis, MO

NPI number 1912528100 Active

Practice location

4921 Parkview Pl
St. Louis, MO 63110-1032

Mailing address

105 S High St
Shiloh, IL 62269-2920

Other practice locations

  • 105 S High St, Shiloh, IL 62269-2920 · (833) 571-0951

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X2018043609 (MO)
Clinical Psychologist Primary 103TC0700X071.010140 (IL)

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 1912528100

Kaitlin J. Portz, PhD's National Provider Identifier is 1912528100, issued on Apr 29, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Louis, MO. The record was last updated on Jun 10, 2020.