Healthcare Provider Details

I. General information

NPI: 1245448596
Provider Name (Legal Business Name): JOHN T. HOWER, PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 N CORNWALL RD E
LEBANON PA
17042-9014
US

IV. Provider business mailing address

195 N CORNWALL RD E
LEBANON PA
17042-9014
US

V. Phone/Fax

Practice location:
  • Phone: 717-274-2915
  • Fax: 717-274-2915
Mailing address:
  • Phone: 717-274-2915
  • Fax: 717-274-2915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS-002976-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW007371L
License Number StatePA

VIII. Authorized Official

Name: DR. JOHN TILGHMAN HOWER
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 717-274-2915