Provider Demographics
NPI:1619109220
Name:HOWARD, JA'NET MACHELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JA'NET
Middle Name:MACHELLE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 OLD YORK ROAD
Mailing Address - Street 2:UNIT L04
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2142
Mailing Address - Country:US
Mailing Address - Phone:215-630-4958
Mailing Address - Fax:215-630-4958
Practice Address - Street 1:505 OLD YORK ROAD
Practice Address - Street 2:UNIT L04
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-2142
Practice Address - Country:US
Practice Address - Phone:215-630-4958
Practice Address - Fax:215-630-4958
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007599103T00000X, 103TB0200X, 103TC0700X, 103TC2200X, 103TF0000X
PAPS018038103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1578917001OtherNPI