Provider Demographics
NPI:1396965760
Name:HOWELL, SANDRA KATHERINE (MS PSYCHOLOGIST MAS)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:KATHERINE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MS PSYCHOLOGIST MAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05601-0305
Mailing Address - Country:US
Mailing Address - Phone:802-229-2711
Mailing Address - Fax:802-229-2711
Practice Address - Street 1:234 MAPLE ST
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672
Practice Address - Country:US
Practice Address - Phone:802-229-2711
Practice Address - Fax:802-229-2711
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT0470000700103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1007795Medicaid
VT00049910OtherBCBS