Individual
DR. CAROL POVENMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
960 E GREEN ST, SUITE 290, PASADENA, CA 91106-2401
(626) 355-2630
Mailing address
PO BOX 295, SIERRA MADRE, CA 91025-0295
(626) 355-2630
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10257
CA
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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