Provider Demographics
NPI:1063566180
Name:SPEARS-HOWELL, MARY ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:
Last Name:SPEARS-HOWELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 W ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2218
Mailing Address - Country:US
Mailing Address - Phone:210-736-6457
Mailing Address - Fax:
Practice Address - Street 1:2515 MCCULLOUGH AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3584
Practice Address - Country:US
Practice Address - Phone:210-736-1762
Practice Address - Fax:210-736-3156
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10371101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional