Provider Demographics
NPI:1912515024
Name:HOWARD, MEREDITH S (LCAT, LMSW)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:S
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCAT, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4955 PINELEDGE DR N
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1532
Mailing Address - Country:US
Mailing Address - Phone:585-797-8227
Mailing Address - Fax:
Practice Address - Street 1:4955 PINELEDGE DR N
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-1532
Practice Address - Country:US
Practice Address - Phone:585-797-8227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001423-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty