Provider Demographics
NPI:1285044164
Name:HOWARD, TAWANNA
Entity Type:Individual
Prefix:MS
First Name:TAWANNA
Middle Name:
Last Name:HOWARD
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 1:5075 SCARSDALE DR
Mailing Address - Street 2:APT D
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45440-2451
Mailing Address - Country:US
Mailing Address - Phone:216-233-8912
Mailing Address - Fax:
Practice Address - Street 1:6550 GARBER RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2000
Practice Address - Country:US
Practice Address - Phone:937-609-2523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor