Provider Demographics
NPI:1427109941
Name:HOWARD, JUDITH A (PHD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:A
Last Name:HOWARD
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 1:609 N VIENNA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-3842
Mailing Address - Country:US
Mailing Address - Phone:318-255-5005
Mailing Address - Fax:318-232-6006
Practice Address - Street 1:609 N VIENNA ST
Practice Address - Street 2:SUITE B
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-3842
Practice Address - Country:US
Practice Address - Phone:318-255-5005
Practice Address - Fax:318-232-6006
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical