Provider Demographics
NPI:1407012453
Name:HOWARD, KASI
Entity type:Individual
Prefix:MS
First Name:KASI
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 AIRLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-2912
Mailing Address - Country:US
Mailing Address - Phone:757-488-9161
Mailing Address - Fax:757-488-9652
Practice Address - Street 1:2404 AIRLINE BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-2912
Practice Address - Country:US
Practice Address - Phone:757-488-9161
Practice Address - Fax:757-488-9652
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX35032103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health