Doctor Name: | ANGELA NICOLE HOWARD |
NPI Number: | 1003111220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 12096621 |
Business Practice Address: | 502 Battleground Dr Iuka, MS - 388521311 |
Business Phone Number: | 6624232103 |
Business Fax Number: | 6624232988 |
Mailing Address: | 162 County Road 1810, SALTILLO |
State: | MS |
Postal Code: | 388669336 |
Phone Number: | 1601416644 |
Fax Number: | 6624232988 |
NPI Enumeration Date: | 01/19/2011 |
NPI Last Update Date: | 01/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12096621 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |