Individual
DR. ERIC DAVID POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4230 GARDENDALE ST STE 502, SAN ANTONIO, TX 78229-3699
(314) 540-6067
Mailing address
4230 GARDENDALE ST STE 502, SAN ANTONIO, TX 78229-3699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37727
TX
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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