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NPI Code Detail

MEDICARE: BRIAN J HOWARD MA. LMLP

MEDICARE: BRIAN J HOWARD MA. LMLP
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
1103TC0700XClinical PsychologistT-LMLP-2438KS

General Provider Information

NPI Number : 1629229802
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN J HOWARD MA. LMLP
Provider Business Mailing Address
First Line : 635 N MAIN ST
Second Line :
City : WICHITA
State : KS
Zip : 67203-3602
Country : US
Telephone Number : 316-660-7500
Fax Number :
Provider Business Practice Location Address
First Line : 635 N MAIN ST
Second Line :
City : WICHITA
State : KS
Zip : 67203-3602
Country : US
Telephone Number : 316-660-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2008
Last Update Date : 05/08/2013

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