Individual
ELIZABETH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1727 SNYDER AVE, PHILADELPHIA, PA 19145-2943
(415) 735-1524
Mailing address
1727 SNYDER AVE, PHILADELPHIA, PA 19145-2943
(415) 735-1524
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27871
CA
103TC0700X
Clinical Psychologist
3068
OR
Other
Enumeration date
10/23/2012
Last updated
07/15/2022
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