Individual
DR. DIANE MARIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
12 CASE ST, SUITE 310, NORWICH, CT 06360-2222
(860) 887-5361
Mailing address
291 N BURNHAM HWY, LISBON, CT 06351-2803
(860) 376-0659
(860) 376-6478
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001592CT
CT
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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