Individual
DR. SHAWN DAVID POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
152 N DURBIN ST, SUITE 308, CASPER, WY 82601-1931
(307) 232-0155
(307) 232-0156
Mailing address
152 N DURBIN ST, SUITE 308, CASPER, WY 82601-1931
(307) 232-0155
(307) 232-0156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
412
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124043900
—
WY
Enumeration date
04/03/2007
Last updated
07/27/2011
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