MEDICARE: BARBARA G HOWARD PHD

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	101Y00000X	Counselor	9419 LPC	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3409LC	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1770633935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA G HOWARD PHD

Provider Business Mailing Address
First Line	:	PO BOX 820663
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76182-0663
Country	:	US
Telephone Number	:	817-427-4011
Fax Number	:	817-427-4067

Provider Business Practice Location Address
First Line	:	2707 AIRPORT FWY STE 212
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76111-2370
Country	:	US
Telephone Number	:	817-335-5488
Fax Number	:	817-335-7121

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

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