Most Relevant Information
Provider Data
| NPI Number: | 1003345984 |
| Provider Name: | ELISABETH POWELL PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PY60876014 |
Most Important Dates
| Enumeration Date: | 06/05/2017 |
| Last Updated: | 11/04/2020 |
Provider Practice Location
10985 SEQUOIA AVE
FELTON
CA
950188930
Practice Location Phone/Fax
| Phone: | 6504546060 |
| Fax: |
Provider Mailing Location
10985 SEQUOIA AVE
FELTON
CA
950188930
Provider Mailing Phone/Fax
| Phone: | 6504546060 |
| Fax: |