Mr Michael James Porter, EDS - Psychologist in Saint Louis, MO

Mr Michael James Porter, EDS is a Psychologist - School based in Saint Louis, Missouri. Mr Michael James Porter is licensed to practice in Missouri (license number ) and his current practice location is 12110 Clayton Rd, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 989-8150.

NPI number for Mr Michael James Porter is 1629663315 and his current mailing address is 12110 Clayton Rd, Saint Louis, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629663315.

Contact Information

Mr Michael James Porter, EDS
12110 Clayton Rd,
Saint Louis, MO 63131-2516
(314) 989-8150
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Michael James Porter
GenderMale
SpecialityPsychologist - School
Location12110 Clayton Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629663315
  • Provider Enumeration Date: 03/04/2021
  • Last Update Date: 03/04/2021

Medical Identifiers

Medical identifiers for Mr Michael James Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629663315NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael James Porter is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Michael James Porter, EDS
12110 Clayton Rd,
Saint Louis, MO 63131-2516

Ph: (314) 989-8150
Mr Michael James Porter, EDS
12110 Clayton Rd,
Saint Louis, MO 63131-2516

Ph: (314) 989-8150

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