Provider Demographics
NPI:1669912200
Name:HOWARD, HEATHER STACY (PHD, MPH, CSC, CSE)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:STACY
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHD, MPH, CSC, CSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 JONES ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3294
Mailing Address - Country:US
Mailing Address - Phone:415-683-3231
Mailing Address - Fax:415-529-1818
Practice Address - Street 1:1420 JONES ST
Practice Address - Street 2:SUITE 7
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3294
Practice Address - Country:US
Practice Address - Phone:415-683-3231
Practice Address - Fax:415-529-1818
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No174H00000XOther Service ProvidersHealth Educator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner