Healthcare Provider Details

I. General information

NPI: 1881892727
Provider Name (Legal Business Name): ALICE LYNN NASOL-HOWELL M.A., LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31330 NORTHWESTERN HWY SUITE D
FARMINGTON HILLS MI
48334-2560
US

IV. Provider business mailing address

2610 SILVERSIDE RD
WATERFORD MI
48328-1762
US

V. Phone/Fax

Practice location:
  • Phone: 248-535-7028
  • Fax: 248-737-9963
Mailing address:
  • Phone: 248-535-7028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6301008216
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: