Dr. Elisabeth Powell
Psychologist
10985 Sequoia Ave
Felton
, California 95018-8930
Dr. Elisabeth Powell
Psychologist
10985 Sequoia Ave
Felton
, California 95018-8930
(650) 454-6060
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Elisabeth Powell
- 10985 Sequoia Ave
- Felton, CA
- Zip : 95018-8930
- Phone : (650) 454-6060
Second Address
- Dr. Elisabeth Powell
- 10985 Sequoia Ave
- Felton, CA
- Zip : 95018-8930
- Phone : (650) 454-6060
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Is Dr. Elisabeth Powell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PY60876014 | WA |
| Y | 103T00000X | Psychologist | PY60876014 | WA |
National Provider Identifier
| NPI | 1003345984 |
|---|---|
| Provider Name | Dr. Elisabeth Powell |
| First Address | Felton, CA 95018-8930 |
| Second Address | Felton, CA 95018-8930 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2017 |
| Last Update Date | 04/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 14372753 | CAQH (01) | |
| 31717 | PSYCHOLOGIST LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.