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Individual
DR. JOHN LEE POWELL III
Active
Individual
DR. JOHN LEE POWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
23682
CA
103TC0700X
Clinical Psychologist
23682
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
23682
CA
103TF0000X
Family Psychologist
23682
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
23682
CA
Other
Enumeration date
10/03/2006
Last updated
08/28/2014
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