Provider Demographics
NPI:1932202736
Name:HOWES, PAUL WHEELER (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:WHEELER
Last Name:HOWES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-2549
Mailing Address - Country:US
Mailing Address - Phone:585-377-7722
Mailing Address - Fax:
Practice Address - Street 1:420 PERINTON HILLS OFFICE PARK
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-3609
Practice Address - Country:US
Practice Address - Phone:585-223-6510
Practice Address - Fax:585-223-6296
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010197-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical