Provider Demographics
NPI:1609898162
Name:HOWELL, JOSEPH B (PHD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:B
Last Name:HOWELL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 LEIGHTON AVE
Mailing Address - Street 2:P O BOX 1558
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-4610
Mailing Address - Country:US
Mailing Address - Phone:256-238-6035
Mailing Address - Fax:
Practice Address - Street 1:1115 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4610
Practice Address - Country:US
Practice Address - Phone:256-238-6035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL351103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALR62701Medicare UPIN