Individual
TARA JEAN HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
2204 GATEWAY DR STE D, OPELIKA, AL 36801-6872
(334) 745-1635
(334) 745-1639
Mailing address
1100 S COLLEGE ST, STE 105, AUBURN, AL 36832-7209
(334) 209-6661
(334) 209-6663
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1121A
AL
231H00000X
Audiologist
AUD003761
GA
237600000X
Audiologist-Hearing Aid Fitter
1121A
AL
237600000X
Audiologist-Hearing Aid Fitter
AUD003761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1121A
STATE LICENSE AL
AL
01
—
12084594
ASHA
—
01
—
13658879
CAQH PROVIDER ID
—
01
—
AUD003761
STATE LICENSE GA
GA
Enumeration date
11/19/2015
Last updated
10/12/2017
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