| Doctor Name: | DR. KRISTEN HORAN |
| NPI Number: | 1275964454 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 020341 |
| Business Practice Address: | 355 Fishkill Ave Beacon, NY - 125082061 |
| Business Phone Number: | 8458316000 |
| Business Fax Number: | |
| Mailing Address: | 260 Montauk Hwy, Suite 8 BAY SHORE |
| State: | NY |
| Postal Code: | 117068320 |
| Phone Number: | 6316479011 |
| Fax Number: | 6316479012 |
| NPI Enumeration Date: | 12/12/2013 |
| NPI Last Update Date: | 12/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 020341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |