Individual
MS. LEAH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
1211 E NATIONAL AVE, BRAZIL, IN 47834-2717
(812) 448-8801
(812) 446-5302
Mailing address
PO BOX 4323, TERRE HAUTE, IN 47804-0323
(812) 231-8315
(812) 231-8442
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042220
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200889860
—
IN
Enumeration date
12/31/2007
Last updated
07/17/2008
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