Provider Demographics
NPI:1770633935
Name:HOWARD, BARBARA G (PHD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:G
Last Name:HOWARD
Suffix:
Gender:F
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:PO BOX 820663
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76182-0663
Mailing Address - Country:US
Mailing Address - Phone:817-427-4011
Mailing Address - Fax:817-427-4067
Practice Address - Street 1:2707 AIRPORT FWY STE 212
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-2370
Practice Address - Country:US
Practice Address - Phone:817-335-5488
Practice Address - Fax:817-335-7121
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9419 LPC101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3409LCOtherBCBS