MEDICARE: DR. GLENN RICHARD POWERS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY19347	CA

General Provider Information

NPI Number	:	1194782789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLENN RICHARD POWERS PH.D.

Provider Business Mailing Address
First Line	:	521 N 10TH AVE # 220
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-2925
Country	:	US
Telephone Number	:	208-810-3945
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 N 10TH AVE # 220
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-2925
Country	:	US
Telephone Number	:	208-810-3945
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	09/12/2024

Similar Medicare Providers

1356293641 — KRISTEN FESTA
Practice Location Address:

521 N 10TH AVE # 171
CALDWELL, ID
83605-2925

Practice Phone: 208-279-7749
Practice Fax:

1346803335 — REHAB SYSTEMS CALDWELL LLC
Practice Location Address:

504 N 10TH AVE STE A
CALDWELL, ID
83605-2925

Practice Phone: 208-453-6404
Practice Fax: 208-453-6402

1386413540 — TIFFANIE GONZALES OTR/L
Practice Location Address:

1906 FAIRVIEW AVE STE 330
CALDWELL, ID
83605-5425

Practice Phone: 208-385-3680
Practice Fax:

1558214627 — BEYOUTIFY THE MIND COUNSELING PLLC
Practice Location Address:

213 AVIATION WAY SPC 45
CALDWELL, ID
83605-1153

Practice Phone: 208-807-3270
Practice Fax:

1598063851 — STACY L FISH PA-C
Practice Location Address:

712 AVIATION WAY
CALDWELL, ID
83605-1154

Practice Phone: 208-302-1400
Practice Fax: 208-302-1455

1316677180 — BRANDON JASON GUTHRIE PHARMD
Practice Location Address:

1717 ARLINGTON AVE
CALDWELL, ID
83605-4802

Practice Phone: 208-504-8735
Practice Fax:

Directions to “ DR. GLENN RICHARD POWERS PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.