MEDICARE: ALICIA NADINE HOWARD M.S.

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	235Z00000X	Speech-Language Pathologist		AR

General Provider Information

NPI Number	:	1194950212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA NADINE HOWARD M.S.

Provider Business Mailing Address
First Line	:	27 CARROLL LN
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72032-9200
Country	:	US
Telephone Number	:	501-513-9069
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 BASELINE RD STE A
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72209-4755
Country	:	US
Telephone Number	:	501-570-4001
Fax Number	:

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

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	05/19/2009

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Directions to “ ALICIA NADINE HOWARD M.S.” Practice Location

Language	Start Address	Practice Location

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