Individual
DR. CHARLES POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2435 KING BLVD STE 313, CASPER, WY 82604-3169
(307) 462-4876
Mailing address
2435 KING BLVD STE 313, CASPER, WY 82604-3169
(307) 462-4876
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
215
WY
Other
Enumeration date
01/06/2009
Last updated
08/26/2013
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