Powell, Shawn David

Powell, Shawn David is an sole proprietor health care provider with primary practice located at 152 N Durbin St Suite 308, Casper WY 82601-1931. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Powell, Shawn David can be contacted via phone (307) 232-0155.

Contact Information

Primary practice address
152 N Durbin St Suite 308 Casper WY 82601-1931
Fax: (307) 232-0156
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 412 Wyoming

Profile Details

NPI number 1447372461
LBN Legal business name Powell, Shawn David
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447372461 NPPES
Wyoming MEDICAID 124043900

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