Provider Demographics
NPI:1174911077
Name:HOWARD, DANA (MS-CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 CAVE HEIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:FALLS OF ROUGH
Mailing Address - State:KY
Mailing Address - Zip Code:40119-7510
Mailing Address - Country:US
Mailing Address - Phone:270-313-4835
Mailing Address - Fax:
Practice Address - Street 1:1230 CAVE HEIGHTS LN
Practice Address - Street 2:
Practice Address - City:FALLS OF ROUGH
Practice Address - State:KY
Practice Address - Zip Code:40119-7510
Practice Address - Country:US
Practice Address - Phone:270-313-4835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4017235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist