Provider Demographics
NPI:1063843290
Name:HOWARD, NATASHA (MS, SLP)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072-3014
Mailing Address - Country:US
Mailing Address - Phone:701-845-3402
Mailing Address - Fax:
Practice Address - Street 1:232 3RD ST NE
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072-3014
Practice Address - Country:US
Practice Address - Phone:701-845-3402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND000418564235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist