Provider Demographics
NPI:1992866073
Name:POWELL, ROBERTA ANNA (CAAR)
Entity type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:ANNA
Last Name:POWELL
Suffix:
Gender:F
Credentials:CAAR
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1129 NEVADA AVE
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965
Mailing Address - Country:US
Mailing Address - Phone:530-538-7278
Mailing Address - Fax:530-538-7315
Practice Address - Street 1:564 RIO LINDO AVENUE
Practice Address - Street 2:SUITE 204
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-879-3950
Practice Address - Fax:530-879-3949
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor