Provider Demographics
NPI:1285232207
Name:HOWELL, MICHAELA DANIELLE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:DANIELLE
Last Name:HOWELL
Suffix:
Gender:F
Credentials: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 1:1350 N GREENVILLE AVE APT 4216
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2975
Mailing Address - Country:US
Mailing Address - Phone:979-319-2885
Mailing Address - Fax:
Practice Address - Street 1:1350 N GREENVILLE AVE APT 4216
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2975
Practice Address - Country:US
Practice Address - Phone:979-319-2885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist