Individual
DR. ELISABETH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10985 SEQUOIA AVE, FELTON, CA 95018-8930
(650) 454-6060
Mailing address
10985 SEQUOIA AVE, FELTON, CA 95018-8930
(650) 454-6060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14372753
CAQH
—
01
—
31717
PSYCHOLOGIST LICENSE
CA
Enumeration date
06/05/2017
Last updated
04/03/2025
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