Provider Demographics
NPI:1992072136
Name:HOWARD PSYCHOLOGY CONSULTING SERVICES PA
Entity type:Organization
Organization Name:HOWARD PSYCHOLOGY CONSULTING SERVICES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:501-337-3755
Mailing Address - Street 1:10515 W MARKHAM ST
Mailing Address - Street 2:SUITE B3
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2139
Mailing Address - Country:US
Mailing Address - Phone:501-337-3755
Mailing Address - Fax:501-255-1446
Practice Address - Street 1:10515 W MARKHAM ST
Practice Address - Street 2:SUITE B3
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2139
Practice Address - Country:US
Practice Address - Phone:501-337-3755
Practice Address - Fax:501-255-1446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR94-33P103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty