Provider Demographics
NPI:1558570655
Name:NOWELL, CARLA SENDERS (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:SENDERS
Last Name:NOWELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-3101
Mailing Address - Country:US
Mailing Address - Phone:650-321-6267
Mailing Address - Fax:415-362-1344
Practice Address - Street 1:570 CENTER DR
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-3101
Practice Address - Country:US
Practice Address - Phone:650-321-6267
Practice Address - Fax:415-362-1344
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6478103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical