Organization
SHAWN POWELL, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN POWELL PH.D. (LICENSED PSYCHOLOGIST)
(307) 232-0155
Entity
Organization
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
09/29/2008
Last updated
09/29/2008
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