Provider Demographics
NPI:1295026789
Name:HOWLETT, JOAN GAIL (LICENSED CLINICAL SO)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:GAIL
Last Name:HOWLETT
Suffix:
Gender:F
Credentials:LICENSED CLINICAL SO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HIGH ST.
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:13668-3101
Mailing Address - Country:US
Mailing Address - Phone:315-262-0175
Mailing Address - Fax:
Practice Address - Street 1:14 HIGH ST.
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NY
Practice Address - Zip Code:13668-3101
Practice Address - Country:US
Practice Address - Phone:315-262-0175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR036711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical