Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
N | 103G00000X | Clinical Psychologist | ||
N | 103TC0700X | Clinical Psychologist | ||
N | 175F00000X | Naturopath | NAT1000723 | DC |
N | 175L00000X | Homeopath | A-0833 | NV |
NPI | 1437279510 |
---|---|
Provider Name | Dr. Richard Anthony Michael Powell |
First Address | Twin Falls, ID 83301-5306 |
Second Address | Twin Falls, ID 83301-5306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 10/03/2020 |