Healthcare Provider Details

I. General information

NPI: 1407765449
Provider Name (Legal Business Name): MRS. MARTHA CATHERINE HOWIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 WOODLAKE DR
OKEMOS MI
48864-6009
US

IV. Provider business mailing address

4432 OLD POND TRL
DIMONDALE MI
48821-9218
US

V. Phone/Fax

Practice location:
  • Phone: 517-388-3505
  • Fax:
Mailing address:
  • Phone: 517-388-3505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101003681
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: