Doctor Name: | KELLY HORNBY |
NPI Number: | 1043371370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 072894 |
Business Practice Address: | 18 Ampersand Dr Plattsburgh, NY - 129016500 |
Business Phone Number: | 5185660100 |
Business Fax Number: | 5185660168 |
Mailing Address: | 18 Ampersand Dr, PLATTSBURGH |
State: | NY |
Postal Code: | 129016500 |
Phone Number: | 5185660100 |
Fax Number: | 5185660168 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 072894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |