Healthcare Provider Details

I. General information

NPI: 1598676512
Provider Name (Legal Business Name): BRYAN JOSEPH HOWELL PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 E GREEN ST STE 300
PASADENA CA
91101-2079
US

IV. Provider business mailing address

70 S LAKE AVE STE 810
PASADENA CA
91101-4738
US

V. Phone/Fax

Practice location:
  • Phone: 213-839-4768
  • Fax:
Mailing address:
  • Phone: 213-839-4768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: