Individual
MICHAEL J POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., ED.S.
Contact information
Practice address
173 RIDGEVIEW DR, BERKELEY SPRINGS, WV 25411-5188
(304) 923-3650
Mailing address
173 RIDGEVIEW DR, BERKELEY SPRINGS, WV 25411-5188
(304) 923-3650
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
22066
WV
Other
Enumeration date
09/11/2009
Last updated
11/06/2016
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