Organization
POWELL PSYCHOLOGICAL ASSOCIATES
Active
Organization
POWELL PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES POWELL PH.D. (OWNER)
(404) 403-6177
Entity
Organization
Contact information
Practice address
2501 E PIEDMONT RD, SUITE 200, PMB 5, MARIETTA, GA 30062-7752
(404) 403-6177
(404) 393-6460
Mailing address
2501 E PIEDMONT RD, SUITE 200, PMB 5, MARIETTA, GA 30062-7752
(404) 403-6177
(404) 393-6460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002212
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000480686A
—
GA
Enumeration date
10/25/2012
Last updated
10/25/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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