Healthcare Provider Details
I. General information
NPI: 1942566633
Provider Name (Legal Business Name): HOWLAND PSYCHIATRY/PSYCHOTHERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2012
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 MAIN ST SUITE 202
NORTH ADAMS MA
01247-3437
US
IV. Provider business mailing address
85 MAIN ST SUITE 202
NORTH ADAMS MA
01247-3429
US
V. Phone/Fax
- Phone: 413-664-4600
- Fax: 413-664-4660
- Phone: 413-664-4600
- Fax: 413-664-4660
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 30855 |
| License Number State | MA |
VIII. Authorized Official
Name: DR.
JOHN
S
HOWLAND
Title or Position: PRACTICE OWNER
Credential: MD
Phone: 413-664-4600