Healthcare Provider Details

I. General information

NPI: 1649247107
Provider Name (Legal Business Name): SUSAN THERESA HOWARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 EDWARDS ACCESS RD
EDWARDS CO
81632-5633
US

IV. Provider business mailing address

439 EDWARDS ACCESS RD
EDWARDS CO
81632-5634
US

V. Phone/Fax

Practice location:
  • Phone: 970-476-2451
  • Fax:
Mailing address:
  • Phone: 970-445-2489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19273
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number19273
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number19273
License Number StateNE
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0075051
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: