DR. Glenn Richard Powers, PH.D.

NPI #1194782789 in Caldwell, Idaho

Provider Information

NPI Number: 1194782789
Entity Type: Individual
Name: DR. Glenn Richard Powers, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Apr 27, 2006
Last Updated: Sep 12, 2024

Practice Location

Address: 521 N 10TH AVE # 220
City: Caldwell
State: Idaho
ZIP Code: 83605-2925
Phone: (208) 810-3945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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