1528153475 NPI number — JANICE A. HOWARD M.S.,CCC-A

Table of content: JANICE A. HOWARD M.S.,CCC-A (NPI 1528153475)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528153475 NPI number — JANICE A. HOWARD M.S.,CCC-A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWARD
Provider First Name:
JANICE
Provider Middle Name:
A.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S.,CCC-A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528153475
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2661 DIXWELL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMDEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06518-3304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-287-9915
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2661 DIXWELL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMDEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06518-3304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-287-9915
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , with the licence number:  000194CT , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ORO856 . This is a "AUDIOLOGY" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 730000194CT02 . This is a "AUDIOLOGY" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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