Individual
DR. JOHN H. POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7122 WOODFIELD DR, TAMPA, FL 33617-8730
(813) 625-1687
Mailing address
7122 WOODFIELD DR, TAMPA, FL 33617-8730
(813) 625-1687
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY4249
STATE LICENSE NUMBER
FL
Enumeration date
10/06/2008
Last updated
10/06/2008
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