=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932458320
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCINE HAY POWEL PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2012
-----------------------------------------------------
Last Update Date | 02/22/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 345 KNECHTEL WAY NE #111
-----------------------------------------------------
City | BAINBRIDGE ISLAND
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98110-2860
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-720-6155
-----------------------------------------------------
Fax | 206-866-6979
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1457
-----------------------------------------------------
City | POULSBO
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98370-0160
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-720-6155
-----------------------------------------------------
Fax | 360-697-3761
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 727
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------