Provider Demographics
NPI:1861946188
Name:HOWARD, JANICE (PHD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
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 1:1525 ECHO HOLLOW RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-5801
Mailing Address - Country:US
Mailing Address - Phone:541-607-1430
Mailing Address - Fax:541-607-1429
Practice Address - Street 1:1200 HILYARD ST STE 420
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8161
Practice Address - Country:US
Practice Address - Phone:458-205-6444
Practice Address - Fax:458-205-6440
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2374103T00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103T00000XBehavioral Health & Social Service ProvidersPsychologist