Healthcare Provider Details

I. General information

NPI: 1881807915
Provider Name (Legal Business Name): SCOTT ALAN HOWARD PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 05/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 MAPLEWOOD AVE
PORTSMOUTH NH
03801-3787
US

IV. Provider business mailing address

118 MAPLEWOOD AVE
PORTSMOUTH NH
03801-3787
US

V. Phone/Fax

Practice location:
  • Phone: 603-433-8954
  • Fax:
Mailing address:
  • Phone: 603-433-8954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number4902
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number524
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: