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Individual

DR. CONNIE G. POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1993 CATO AVE, STATE COLLEGE, PA 16801-2754
(814) 231-8820
Mailing address
521 W HORNER ST APT 5, EBENSBURG, PA 15931-1357
(814) 243-9129

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20041900A
IN
103TC0700X
Clinical Psychologist
Primary
PS016032
PA

Other

Enumeration date
09/03/2006
Last updated
07/08/2007
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