Provider Demographics
NPI:1497823397
Name:HOWLEY, STEPHANIE
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:HOWLEY
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 1:1901 WESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-4347
Mailing Address - Country:US
Mailing Address - Phone:804-358-1874
Mailing Address - Fax:804-278-8977
Practice Address - Street 1:1901 WESTWOOD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-4347
Practice Address - Country:US
Practice Address - Phone:804-358-1874
Practice Address - Fax:804-278-8977
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003407235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA192086Medicaid
VA64000489OtherUNITED HEALTHCARE
VA40463Medicaid
VA96100OtherSOUTHERN HEALTH
VA192086OtherANTHEM
VA31752Medicaid
VA7756200OtherAETNA
VA4978013Medicaid