Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | LPC-0643 | AZ |
Y | 103TS0200X | School Psychologist | 15698 | AZ |
NPI | 1053442202 |
---|---|
Provider Name | Bridget Kathleen Howell |
First Address | Chandler, AZ 85224-1719 |
Second Address | Gilbert, AZ 85296 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 01/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
586357 | (05) | AZ |