Individual
MS. DOROTHY JULIETTE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3301 E 12TH ST, SUITE 259, OAKLAND, CA 94601-3424
(510) 269-9103
(510) 269-9031
Mailing address
3301 E 12TH ST, SUITE 259, OAKLAND, CA 94601-3424
(510) 269-9103
(510) 269-9031
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSB 29250
CA
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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