Healthcare Provider Details

I. General information

NPI: 1053442202
Provider Name (Legal Business Name): BRIDGET KATHLEEN HOWELL PSY.D., NCSP, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 W FRYE RD
CHANDLER AZ
85224-6112
US

IV. Provider business mailing address

1275 E MARY LN
GILBERT AZ
85295-1742
US

V. Phone/Fax

Practice location:
  • Phone: 480-812-7000
  • Fax: 480-224-9353
Mailing address:
  • Phone: 602-315-7176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-0643
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number2579081
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: