Polner, Portia

Polner, Portia is an individual health care provider with primary practice located at 2255 Morello Avenue Ste 119, Pleasant Hill CA 94523. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Polner, Portia can be contacted via phone (925) 798-5323.

Contact Information

Primary practice address
2255 Morello Avenue Ste 119 Pleasant Hill CA 94523
Fax: (510) 339-8183
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY11003 California

Profile Details

NPI number 1346351608
LBN Legal business name Polner, Portia
Credentials PH D LIC PSYCHOLOGIS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346351608 NPPES
California MEDICAID 110030

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