Provider Demographics
NPI:1871583294
Name:HOWE, MICHAEL ALEXANDER (PHD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ALEXANDER
Last Name:HOWE
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 FRANKLIN AVE STE 309
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-6900
Mailing Address - Country:US
Mailing Address - Phone:254-776-0400
Mailing Address - Fax:254-776-0637
Practice Address - Street 1:4949 FRANKLIN AVE STE 309
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-6900
Practice Address - Country:US
Practice Address - Phone:254-776-0400
Practice Address - Fax:254-776-0637
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23619103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031788501Medicaid
TX117085OtherCHIP PROVIDER NUMBER
TX00T51YOtherBC/BS PROVIDER NUMBER
TX115501101OtherSWL PROVIDER NUMBER
TX117085OtherCHIP PROVIDER NUMBER
TX00T51YOtherBC/BS PROVIDER NUMBER