Provider Demographics
NPI:1255503355
Name:HOWELL, MARNY JEAN (VRC)
Entity Type:Individual
Prefix:
First Name:MARNY
Middle Name:JEAN
Last Name:HOWELL
Suffix:
Gender:F
Credentials:VRC
Other - Prefix:
Other - First Name:MARNY
Other - Middle Name:JEAN
Other - Last Name:DICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:VRC
Mailing Address - Street 1:9600 VETERANS DRIVE AMERICAN LAKE DIVISION
Mailing Address - Street 2:BUILDING 148, ROOM 113
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0001
Mailing Address - Country:US
Mailing Address - Phone:253-583-1615
Mailing Address - Fax:253-583-4042
Practice Address - Street 1:9600 VETERANS DRIVE AMERICAN LAKE DIVISION
Practice Address - Street 2:BUILDING 148, ROOM 113
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-1615
Practice Address - Fax:253-583-4042
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor