Basic Information
| Provider Information | |||||||||
| NPI: | 1255665527 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOWLEY | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | MA, TLLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 811 WYANDOTTE AVE | ||||||||
| Address2: | |||||||||
| City: | ROYAL OAK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480673367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2487655822 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11111 HALL RD | ||||||||
| Address2: | |||||||||
| City: | UTICA | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483175711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5869973153 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/19/2009 | ||||||||
| LastUpdateDate: | 09/19/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | L1625241 | MI | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.