Provider Demographics
NPI:1740303163
Name:HOWELL, JOHN WILLARD (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLARD
Last Name:HOWELL
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 CLEVELAND AVE UNIT F349
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3386
Mailing Address - Country:US
Mailing Address - Phone:760-682-8383
Mailing Address - Fax:
Practice Address - Street 1:333 SOUTH TWIN OAKS VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92096-4411
Practice Address - Country:US
Practice Address - Phone:425-281-4032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003532103TC0700X
CA25920103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical