Mr Ryland Bouldin Powell Sr, LCSW is a
Marriage & Family Therapist based in Maplewood, New Jersey. Mr Ryland Bouldin Powell Sr is licensed to practice in New Jersey (license number 37F100055500) and his current practice location is
74 Parker Ave, Maplewood, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 763-2155.
NPI number for Mr Ryland Bouldin Powell Sr is 1760520860 and his current mailing address is 74 Parker Ave, Maplewood, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760520860.
Healthcare Provider's Profile
Full Name | Mr Ryland Bouldin Powell Sr |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 74 Parker Ave, Maplewood, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760520860
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Ryland Bouldin Powell Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760520860 | NPI | - | NPPES |
11234975 | Other | | CIGNA BEHAV.HEALTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 44SC00017300 (New Jersey) | Primary |
106H00000X | Marriage & Family Therapist | 37F100055500 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ryland Bouldin Powell Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Ryland Bouldin Powell Sr, LCSW 74 Parker Ave, Maplewood, NJ 07040-1746 Ph: (973) 763-2155 | Mr Ryland Bouldin Powell Sr, LCSW 74 Parker Ave, Maplewood, NJ 07040-1746 Ph: (973) 763-2155 |
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