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Individual

DR. STEPHANIE M HOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
209 PARK PLACE CV STE C, PEARL, MS 39208-8948
(601) 420-2210
Mailing address
404 KIRKWOOD DR, CLINTON, MS 39056-5895
(901) 488-6842

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
56996
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56996
PSYCHOLOGIST
MS
Enumeration date
09/11/2017
Last updated
09/11/2017
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