Provider Demographics
NPI:1538170915
Name:KATHLEEN M. HOWE
Entity type:Organization
Organization Name:KATHLEEN M. HOWE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-992-2550
Mailing Address - Street 1:RR 3 BOX 3161A
Mailing Address - Street 2:
Mailing Address - City:SAYLORSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18353-9382
Mailing Address - Country:US
Mailing Address - Phone:570-992-2550
Mailing Address - Fax:570-992-2550
Practice Address - Street 1:RR 3 BOX 3161A
Practice Address - Street 2:
Practice Address - City:SAYLORSBURG
Practice Address - State:PA
Practice Address - Zip Code:18353-9382
Practice Address - Country:US
Practice Address - Phone:570-992-2550
Practice Address - Fax:570-992-2550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0134931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103777Medicare PIN