Healthcare Provider Details

I. General information

NPI: 1386892875
Provider Name (Legal Business Name): BECKY MARIE HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BECKY MARIE ADCOCK

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 MAIN ST
OXFORD MA
01540-1784
US

IV. Provider business mailing address

351 MAIN ST
OXFORD MA
01540-1784
US

V. Phone/Fax

Practice location:
  • Phone: 774-478-8040
  • Fax: 774-272-8739
Mailing address:
  • Phone: 774-478-8040
  • Fax: 774-272-8739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7796
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: