Individual
MATTHEW POWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., HSPP
Contact information
Practice address
100 N SAINT JOSEPH AVE, EVANSVILLE, IN 47712-5506
(812) 483-8800
Mailing address
7555 MARYWOOD DR, NEWBURGH, IN 47630-3044
(812) 483-8800
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20043341B
IN
103TE1100X
Exercise & Sports Psychologist
20043341B
IN
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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