Provider Demographics
NPI:1932499449
Name:SPEARS, HOWARD WILLIAM (EDM, MA)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:WILLIAM
Last Name:SPEARS
Suffix:
Gender:M
Credentials:EDM, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4249
Mailing Address - Country:US
Mailing Address - Phone:781-585-2769
Mailing Address - Fax:
Practice Address - Street 1:275 TURNPIKE ST
Practice Address - Street 2:# 105
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2357
Practice Address - Country:US
Practice Address - Phone:781-821-1760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3564101YM0800X
MA912106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist