Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY20392 | CA |
N | 103T00000X | Psychologist | PSY20392 | CA |
Y | 103G00000X | Clinical Psychologist | PSY20392 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY20392 | CA |
N | 103TC1900X | Counseling Psychologist | PSY20392 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY20392 | CA |
NPI | 1104993492 |
---|---|
Provider Name | Dr. Richele Howell |
First Address | Albany, CA 94706-0802 |
Second Address | Albany, CA 94706-2148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 24/03/2010 |