Dr Glenn Richard Powers, PHD | |
521 N 10th Ave # 220, Caldwell, ID 83605-2925 | |
(208) 810-3945 | |
Not Available |
Full Name | Dr Glenn Richard Powers |
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Gender | Male |
Speciality | Psychologist |
Location | 521 N 10th Ave # 220, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194782789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY19347 (California) | Primary |
Entity Name | Mellow Medical Inc A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
Entity Name | Collaborative Psychology Group A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336532340 PECOS PAC ID: 9436494671 Enrollment ID: O20181217002672 |
Entity Name | Tubi Connect Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659919140 PECOS PAC ID: 3971933318 Enrollment ID: O20200501000323 |
Mailing Address | Practice Location Address |
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Dr Glenn Richard Powers, PHD 521 N 10th Ave # 220, Caldwell, ID 83605-2925 Ph: (208) 810-3945 | Dr Glenn Richard Powers, PHD 521 N 10th Ave # 220, Caldwell, ID 83605-2925 Ph: (208) 810-3945 |
Leigh Sharma, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4831 | |
Phares L Book, PSY.D,LPC Psychologist Medicare: May Accept Medicare Assignments Practice Location: 815 Fillmore St, Caldwell, ID 83605 Phone: 208-459-6962 Fax: 208-459-4476 | |
Dr. Leighton Jerry Cunningham, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 S Kimball Ave, Suite 240, Caldwell, ID 83605 Phone: 208-454-1229 | |
Dr. Julie Ann Parsons, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 305 E Logan, Caldwell, ID 83605 Phone: 208-454-1855 Fax: 208-459-3012 |