Individual
DR. GLENN RICHARD POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
521 N 10TH AVE # 220, CALDWELL, ID 83605-2925
(208) 810-3945
Mailing address
521 N 10TH AVE # 220, CALDWELL, ID 83605-2925
(208) 810-3945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19347
CA
Other
Enumeration date
04/27/2006
Last updated
09/12/2024
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