MEDICARE: CHRISTOPHER HOWARD PSY.D.

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	106H00000X	Marriage & Family Therapist	MFC40433	CA
2	103TC0700X	Clinical Psychologist	PSY26938	CA

General Provider Information

NPI Number	:	1245438514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER HOWARD PSY.D.

Provider Business Mailing Address
First Line	:	150 MORRO AVE
Second Line	:
City	:	PISMO BEACH
State	:	CA
Zip	:	93449-1808
Country	:	US
Telephone Number	:	805-674-2252
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 SHELL BEACH RD STE C
Second Line	:
City	:	PISMO BEACH
State	:	CA
Zip	:	93449-1860
Country	:	US
Telephone Number	:	805-674-2252
Fax Number	:

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

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	04/08/2015

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