Catherine Basford Howell, PH.D.

Individual provider Active NPI Psychologist · Coolidge, GA

NPI 1881776144 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1881776144
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
1947 (GA)
Practice address
7363 Hall Rd
Coolidge, GA 31738-2407
Phone
(229) 228-5192
Fax
(229) 228-5139
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7363 Hall Rd
Coolidge, GA 31738-2407
Phone (229) 228-5192

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060330000524 GA Practitioner - Clinical Psychologist 1658389796 Practice locations: Coolidge, GA

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1947GAMDAnesthesiologist Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1947 GA Yes

Addresses

Primary practice location

7363 Hall Rd
Coolidge, GA 31738-2407

Mailing address

7363 Hall Rd
Coolidge, GA 31738-2407
Phone (229) 228-5192

Other identifiers

IdentifierTypeStateIssuer
00706516BMedicaidGA

Other providers in Coolidge, GA

All providers in Coolidge, GA · Psychologist in Georgia

Sources for this page

Verify at the official NPI Registry.