| Doctor Name: | MRS. ELIZABETH AMY PORTER |
| NPI Number: | 1861560989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SL009073 |
| Business Practice Address: | 3054 Enterprise Dr State College, PA - 168012755 |
| Business Phone Number: | 8142346023 |
| Business Fax Number: | 8142341439 |
| Mailing Address: | 424 Waupelani Dr Apt C13, STATE COLLEGE |
| State: | PA |
| Postal Code: | 168014502 |
| Phone Number: | 8149336149 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 10/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL009073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |