Doctor Name: | MARIANN K HORVAT |
NPI Number: | 1114110913 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 003050 |
Business Practice Address: | 60 Kyle Rd Hampton Bays, NY - 119462678 |
Business Phone Number: | 6317288078 |
Business Fax Number: | |
Mailing Address: | 60 Kyle Rd, HAMPTON BAYS |
State: | NY |
Postal Code: | 119462678 |
Phone Number: | 6317288078 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2007 |
NPI Last Update Date: | 08/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 003050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |