=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245448596
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOHN T. HOWER, PH.D.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/18/2007
-----------------------------------------------------
Last Update Date | 05/12/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 195 N CORNWALL RD E
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17042-9014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-274-2915
-----------------------------------------------------
Fax | 717-274-2915
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 195 N CORNWALL RD E
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17042-9014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-274-2915
-----------------------------------------------------
Fax | 717-274-2915
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHOLOGIST
-----------------------------------------------------
Name | DR. JOHN TILGHMAN HOWER
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 717-274-2915
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | CW007371L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | PS-002976-L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------