Individual
DR. BRYAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 AVENUE H BLDG 442, SAN FRANCISCO, CA 94130-1648
(415) 754-3776
Mailing address
PO BOX 1388, LOS ALTOS, CA 94023-1388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17709
CA
Other
Enumeration date
11/03/2006
Last updated
04/10/2012
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