Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1154898831 |
---|---|
Provider Name | Thomas Howell IV |
First Address | Verona, PA 15147-0015 |
Second Address | Pittsburgh, PA 15206-1511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2018 |
Last Update Date | 31/10/2018 |