Healthcare Provider Details

I. General information

NPI: 1548872088
Provider Name (Legal Business Name): ABIGAIL RENEE HOWERTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 US 31W BYP STE 18D
BOWLING GREEN KY
42101
US

IV. Provider business mailing address

600 US 31W BYP STE 18D
BOWLING GREEN KY
42101-4906
US

V. Phone/Fax

Practice location:
  • Phone: 270-842-4428
  • Fax: 270-842-5268
Mailing address:
  • Phone: 270-861-0590
  • Fax: 270-891-5338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number305515
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: