| Doctor Name: | PHILLIP HORNER |
| NPI Number: | 1003285719 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | CSW.09923711 |
| Business Practice Address: | 100 W. Arapahoe Lane Boulder, CO - 80302 |
| Business Phone Number: | 7203167774 |
| Business Fax Number: | |
| Mailing Address: | 2550 9th St, BOULDER |
| State: | CO |
| Postal Code: | 803043337 |
| Phone Number: | 7203167774 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2015 |
| NPI Last Update Date: | 09/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW.09923711 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |