Provider Demographics
NPI:1083255269
Name:HOWLAND, AMY FAYTHE
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:FAYTHE
Last Name:HOWLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ELLIS FARM LN
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-2910
Mailing Address - Country:US
Mailing Address - Phone:781-662-0806
Mailing Address - Fax:
Practice Address - Street 1:100 GEORGE P HASSETT DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3258
Practice Address - Country:US
Practice Address - Phone:781-393-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor