Individual
SANDRA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 5TH AVE, PARKESBURG, PA 19365-1413
(610) 857-5687
Mailing address
601 5TH AVE, PARKESBURG, PA 19365-1413
(610) 857-5687
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
PA
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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