MEDICARE: MS. ROXANNE GAIL HOWARD MA, LPA

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	103T00000X	Psychologist	2537	NC

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	:	1487639589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROXANNE GAIL HOWARD MA, LPA

Provider Business Mailing Address
First Line	:	7210 HASKELL CT
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28411-7392
Country	:	US
Telephone Number	:	910-232-1379
Fax Number	:	910-371-6003

Provider Business Practice Location Address
First Line	:	1003 OLD WATERFORD WAY
Second Line	:	SUITE 1-C
City	:	LELAND
State	:	NC
Zip	:	28451-4102
Country	:	US
Telephone Number	:	910-371-1007
Fax Number	:	910-371-6003

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

Provider Enumeration Date	:	12/12/2005
Last Update Date	:	07/08/2007

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