Provider Demographics
NPI:1164104246
Name:HOWELL, CHARITY ROSE
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:ROSE
Last Name:HOWELL
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 1:10145 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46280-1611
Mailing Address - Country:US
Mailing Address - Phone:317-853-9342
Mailing Address - Fax:
Practice Address - Street 1:10145 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46280-1611
Practice Address - Country:US
Practice Address - Phone:317-853-9342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist