| Timothy J Howard Associates, Llc | |
|
1591 W Centre Ave Suite 104 Portage MI 49024-6314 | |
| (269) 254-6678 | |
| (269) 585-6152 |
| Full Name | Timothy J Howard Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1591 W Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Timothy J. Howard (OWNER) |
| Authorized Official Contact | 2692546678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Howard Associates, Llc 1591 W Centre Ave Suite 104 Portage MI 49024-6314 Ph: (269) 254-6678 | Timothy J Howard Associates, Llc 1591 W Centre Ave Suite 104 Portage MI 49024-6314 Ph: (269) 254-6678 |
| NPI Number | 1619371549 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 12/18/2014 |
| Medicare PECOS PAC ID | 9739402603 |
|---|---|
| Medicare Enrollment ID | O20141229001369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619371549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301009061 (Michigan) | Primary |
| Provider Name | Timothy J Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396721247 PECOS PAC ID: 2860667276 Enrollment ID: I20111214000279 |
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