Individual
AMY MARIE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPE
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PE0000011686
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4028199
BCBS OF TN
TN
Enumeration date
02/15/2007
Last updated
07/08/2007
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