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Tim Portinga, PSYD LP
NPI 1609924216 · on the registry since 2007
Practice
- Address
- 11505 36th Ave N
Plymouth, MN 55441 - Phone
- (763) 509-3818
- Fax
- (763) 559-0149
- Organisation at this address
- Hazelden Betty Ford Foundation
Recovery Partners, Pc At PlymouthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Minnesota