Provider Demographics
NPI:1932325099
Name:HOWE, BILL
Entity Type:Individual
Prefix:
First Name:BILL
Middle Name:
Last Name:HOWE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 BLUEBELL AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-7833
Mailing Address - Country:US
Mailing Address - Phone:720-320-6447
Mailing Address - Fax:720-565-8299
Practice Address - Street 1:1431 BLUEBELL AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-7833
Practice Address - Country:US
Practice Address - Phone:720-320-6447
Practice Address - Fax:720-565-8299
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2478103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO54634288Medicaid
CO54634288Medicaid