Provider Demographics
NPI:1073240222
Name:HOWARD, MARIAH MAURINE (MHR, MS CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:MARIAH
Middle Name:MAURINE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MHR, MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 OAK MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-3282
Mailing Address - Country:US
Mailing Address - Phone:972-533-7810
Mailing Address - Fax:
Practice Address - Street 1:210 OAK MEADOW LN
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-3282
Practice Address - Country:US
Practice Address - Phone:972-533-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117252235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist