Individual
DR. ELAINE R POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
16350 FILBERT ST, SYLMAR, CA 91342-1002
(818) 364-2152
(818) 833-5438
Mailing address
5732 BUFFALO AVE, VAN NUYS, CA 91401-4507
(818) 901-0444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 11530
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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