Healthcare Provider Details

I. General information

NPI: 1639226467
Provider Name (Legal Business Name): MARY G HOWER PSY. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 06/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 DAHLONEGA ST., STE. 1902B
CUMMING GA
30040
US

IV. Provider business mailing address

327 DAHLONEGA ST. STE, 1902B
CUMMING GA
30040
US

V. Phone/Fax

Practice location:
  • Phone: 678-371-7357
  • Fax:
Mailing address:
  • Phone: 678-371-7357
  • Fax: 770-888-1800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY002738
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY002738
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY002738
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: