Provider Demographics
NPI:1437373321
Name:HOWATT, KELLY A (MS)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:A
Last Name:HOWATT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 INDIGO WAY
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-8422
Mailing Address - Country:US
Mailing Address - Phone:610-366-6194
Mailing Address - Fax:610-965-7078
Practice Address - Street 1:5182 LAURIE DR
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-5054
Practice Address - Country:US
Practice Address - Phone:610-965-2458
Practice Address - Fax:610-965-7078
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004119L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018293220001OtherMEDICAL ASSISTANCE