Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PS017987 | PA |
NPI | 1053760967 |
---|---|
Provider Name | Dr. Desiree S Howell |
First Address | State College, PA 16801-3894 |
Second Address | State College, PA 16801-3894 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2016 |
Last Update Date | 22/06/2016 |