Powell Acqusition Company
NPI #1255654224 in Cambridge, Massachusetts
Provider Information
- NPI Number
- 1255654224
- Entity Type
- Organization
- Organization Name
- Powell Acqusition Company
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Mar 5, 2010
- Last Updated
- Mar 5, 2010
Practice Location
- Address
- 875 MASSACHUSETTS AVE
- Address 2
- SUITE 84
- City
- Cambridge
- State
- Massachusetts
- ZIP Code
- 02139-3067
- Phone
- (617) 494-1650
Authorized Official
- Name
- DR. KARL WAGNER, PSY.D.
- Title
- PRESIDENT
- Phone
- (617) 494-1650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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