Healthcare Provider Details

I. General information

NPI: 1427341841
Provider Name (Legal Business Name): LEE HOWARD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2011
Last Update Date: 05/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 THURMAN AVE
COLUMBUS OH
43206-2629
US

IV. Provider business mailing address

181 THURMAN AVE
COLUMBUS OH
43206-2629
US

V. Phone/Fax

Practice location:
  • Phone: 614-444-0961
  • Fax: 614-444-0962
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2934
License Number StateOH

VIII. Authorized Official

Name: AMY MCKOWN
Title or Position: OFFICE MANAGER
Credential:
Phone: 614-444-0961