MEDICARE: DR. SHELLEY HANNAH KAY HOWELL PHD, JD, MSCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY61076404	WA
2	103G00000X	Clinical Neuropsychologist	PSY17487	CA
3	103T00000X	Psychologist	PSY17487	CA

General Provider Information

NPI Number	:	1194035725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELLEY HANNAH KAY HOWELL PHD, JD, MSCP

Provider Business Mailing Address
First Line	:	22500 SE 64TH PL STE 230
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-8111
Country	:	US
Telephone Number	:	408-355-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	22500 SE 64TH PL STE 230
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-8111
Country	:	US
Telephone Number	:	408-355-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2010
Last Update Date	:	03/18/2026

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