Provider Demographics
NPI:1558833210
Name:HOWELL, JEFFREY ARTHUR (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ARTHUR
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 GLASS LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-3736
Mailing Address - Country:US
Mailing Address - Phone:248-339-6049
Mailing Address - Fax:
Practice Address - Street 1:1557 GLASS LAKE CIR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-3736
Practice Address - Country:US
Practice Address - Phone:248-339-6049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101000125235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty