| Shawn Powell, Ph.d., Llc | |
|
152 N Durbin St Suite 308 Casper WY 82601-1931 | |
| (307) 232-0155 | |
| (307) 232-0156 |
| Full Name | Shawn Powell, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 152 N Durbin St, Casper, Wyoming |
| Authorized Official Name and Position | Shawn Powell (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3072320155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Powell, Ph.d., Llc 152 N Durbin St Suite 308 Casper WY 82601-1931 Ph: (307) 232-0155 | Shawn Powell, Ph.d., Llc 152 N Durbin St Suite 308 Casper WY 82601-1931 Ph: (307) 232-0155 |
| NPI Number | 1689824492 |
|---|---|
| Provider Enumeration Date | 09/29/2008 |
| Last Update Date | 09/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689824492 | NPI | - | NPPES |
| 124043900 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 412 (Wyoming) | Primary |
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