Tim Richard Portinga, PSYDLP
Tim Richard Portinga, PSYDLP is a Clinical Psychologist in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
11505 36th Ave NPlymouth, MN 55441-2304
Phone: (763) 509-3818
Fax: (763) 559-0149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence LP4699 (MN) |
|---|
Record details
| NPI number | 1609924216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYDLP |
| Sole proprietor | No |
| NPI enumerated | January 8, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 11505 36th Ave N, Plymouth, MN 55441-2304 |
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