Provider Demographics
NPI:1134941875
Name:HOWK, MARY (AUD)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:HOWK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 CLINCH AVENUE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916
Mailing Address - Country:US
Mailing Address - Phone:865-251-6005
Mailing Address - Fax:865-251-6008
Practice Address - Street 1:2100 CLINCH AVENUE
Practice Address - Street 2:SUITE 410
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916
Practice Address - Country:US
Practice Address - Phone:865-251-6005
Practice Address - Fax:865-251-6008
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2254231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist