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Amanda Porter, MA, LAC

NPI 1588595433 · on the registry since 2026

Practice

Address
34 Manchester Ave Ste 205
Forked River, NJ 08731
Phone
(732) 800-7676
Organisation at this address
Faemoe Limited
Shannon Keyes Dmd Llc
Atlantic Age Management
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey