Individual
DR. MATTHEW R. POWELL
Active
Individual
DR. MATTHEW R. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2621
WI
103G00000X
Clinical Neuropsychologist
5886
MN
103G00000X
Clinical Neuropsychologist
PS015812
PA
103TC0700X
Clinical Psychologist
Primary
5886
MN
Other
Enumeration date
04/20/2006
Last updated
08/24/2020
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