Provider Demographics
NPI:1871607481
Name:HOWELL, LIBBY (EDD, LMFT)
Entity type:Individual
Prefix:DR
First Name:LIBBY
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:EDD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 S LAKESHORE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2171
Mailing Address - Country:US
Mailing Address - Phone:480-756-8686
Mailing Address - Fax:480-756-8918
Practice Address - Street 1:5410 S LAKESHORE DR STE 103
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-2171
Practice Address - Country:US
Practice Address - Phone:480-756-8686
Practice Address - Fax:480-756-8918
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1935103TC2200X
AZ0295106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ77440Medicare PIN