Provider Demographics
NPI:1881002558
Name:HOWLEY, STEPHEN EDMUND (NCSP)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:EDMUND
Last Name:HOWLEY
Suffix:
Gender:M
Credentials:NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 NANTASKET AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2556
Mailing Address - Country:US
Mailing Address - Phone:781-925-3500
Mailing Address - Fax:781-925-3505
Practice Address - Street 1:485 NANTASKET AVE
Practice Address - Street 2:UNIT C
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-2556
Practice Address - Country:US
Practice Address - Phone:781-925-3500
Practice Address - Fax:781-925-3505
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program