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NPI Code Detail

MEDICARE: MRS. MYRA HOWARD M.A.CCC-SLP

MEDICARE: MRS. MYRA HOWARD M.A.CCC-SLP
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
11041C0700XClinical Social Worker22538CA

General Provider Information

NPI Number : 1962264291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MYRA HOWARD M.A.CCC-SLP
Provider Business Mailing Address
First Line : 292 S LA CIENEGA BLVD STE 250
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-3357
Country : US
Telephone Number : 310-954-9614
Fax Number :
Provider Business Practice Location Address
First Line : 292 S LA CIENEGA BLVD STE 250
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-3357
Country : US
Telephone Number : 310-954-9614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2024
Last Update Date : 01/23/2024

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