Provider Demographics
NPI:1184002859
Name:HOWARD, VICKI LYNN (BS)
Entity type:Individual
Prefix:MS
First Name:VICKI
Middle Name:LYNN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 S ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-9157
Mailing Address - Country:US
Mailing Address - Phone:479-754-7710
Mailing Address - Fax:479-754-8910
Practice Address - Street 1:1142 S ROGERS ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-9157
Practice Address - Country:US
Practice Address - Phone:479-754-7710
Practice Address - Fax:479-754-8910
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR420237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist