MEDICARE: MS. DENISE GAYLE HOWLAND CCC-S/LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA 443	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215960265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE GAYLE HOWLAND CCC-S/LP

Provider Business Mailing Address
First Line	:	1005 E JEAN ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-6207
Country	:	US
Telephone Number	:	813-238-2182
Fax Number	:	813-238-2182

Provider Business Practice Location Address
First Line	:	1005 E JEAN ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-6207
Country	:	US
Telephone Number	:	813-238-2182
Fax Number	:	813-238-2182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	07/09/2007

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