Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 116142 | MS |
N | 103T00000X | Psychologist | 116142 | MS |
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 116142 | MS |
N | 103TM1800X | Intellectual & Developmental Disabilities | 116142 | MS |
N | 103TS0200X | School Psychologist | 116142 | MS |
NPI | 1083986186 |
---|---|
Provider Name | Dr. Linder G Howze |
First Address | Cleveland, MS 38732-2943 |
Second Address | Cleveland, MS 38732-2943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2012 |
Last Update Date | 04/02/2012 |