NPI 1003169145

Powell Psychological Associates

Organisation Clinical Psychologist Marietta, GA

Practice location

Address: 2501 E Piedmont Rd Suite 200, Pmb 5, Marietta, GA 30062-7752
Phone: (404) 403-6177
Fax: (404) 393-6460

Authorised official

Name: James Powell
Title: Owner
Phone: (404) 403-6177

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY002212 (GA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1003169145
Entity type: Organization
NPI issued: 25 Oct 2012
Record last updated: 25 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.