Laura Gustafson Porter, PHD | |
7714 Conner Rd Ste 105, Powell, TN 37849-3559 | |
(865) 947-6220 | |
(865) 512-1069 |
Full Name | Laura Gustafson Porter |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 21 Years |
Location | 7714 Conner Rd Ste 105, Powell, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720087901 | NPI | - | NPPES |
3981441 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2546(PROVISIONAL) (Tennessee) | Secondary |
103TC0700X | Psychologist - Clinical | P2546 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cherokee Health Systems | 3577474295 | 94 |
Entity Name | Cherokee Health Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769 |
Mailing Address | Practice Location Address |
---|---|
Laura Gustafson Porter, PHD 6350 W Andrew Johnson Hwy Dept 100, Talbott, TN 37877-8605 Ph: (800) 355-3565 | Laura Gustafson Porter, PHD 7714 Conner Rd Ste 105, Powell, TN 37849-3559 Ph: (865) 947-6220 |
Sara Haugli, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7714 Conner Rd, Suite 105, Powell, TN 37849 Phone: 865-947-6220 Fax: 865-512-1069 | |
William Allan Richards Jr., PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7714 Conner Rd, Powell, TN 37849 Phone: 865-947-6220 Fax: 865-512-1069 | |
Mrs. Jessica L Allin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 7714 Conner Rd, Suite 105, Powell, TN 37849 Phone: 865-947-6220 Fax: 865-512-1069 | |
Adair Allen, PH. D. Psychologist Medicare: Medicare Enrolled Practice Location: 7714 Conner Rd, Powell, TN 37849 Phone: 865-947-6220 Fax: 865-512-1069 |