Healthcare Provider Details

I. General information

NPI: 1982611653
Provider Name (Legal Business Name): PAMELA ANNE HOWARD MD, MBA, FACS, ABPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAMELA ANNE BROWN MD, MBA

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 07/13/2024
Certification Date: 07/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 FRONT STREET, SUITE 263
MARION MA
02738-7707
US

IV. Provider business mailing address

143 FRONT STREET, SUITE 263
MARION MA
02738
US

V. Phone/Fax

Practice location:
  • Phone: 774-300-9359
  • Fax:
Mailing address:
  • Phone: 774-300-9359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberE-5867
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberG89270
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number11699A
License Number StateWY
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberE-5867
License Number StateAR
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number11699A
License Number StateWY
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number269538
License Number StateMA
# 7
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG89270
License Number StateCA
# 8
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number269538
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: