Provider Demographics
NPI:1194950212
Name:HOWARD, ALICIA NADINE (MS)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:NADINE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 CARROLL LN
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-9200
Mailing Address - Country:US
Mailing Address - Phone:501-513-9069
Mailing Address - Fax:
Practice Address - Street 1:6520 BASELINE RD STE A
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-4755
Practice Address - Country:US
Practice Address - Phone:501-570-4001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist