Individual
DR. JOHN BRADFORD POWELL
Active
Individual
DR. JOHN BRADFORD POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2082
WA
103TC0700X
Clinical Psychologist
Primary
2082
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048911
—
WA
Enumeration date
03/09/2006
Last updated
08/22/2018
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