Mariah Lynn Powell

NPI #1104664523 in Westbury, New York

Provider Information

NPI Number: 1104664523
Entity Type: Individual
Name: Mariah Lynn Powell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Jul 18, 2024
Last Updated: Jul 18, 2024

Practice Location

Address: 1400 OLD COUNTRY RD STE C103N
City: Westbury
State: New York
ZIP Code: 11590-5156
Phone: (516) 806-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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