MEDICARE: SHAWN HORN, PSYD, PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH8448	WA

General Provider Information

NPI Number	:	1235104563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAWN HORN, PSYD, PS

Provider Business Mailing Address
First Line	:	104 S FREYA ST
Second Line	:	STE 215B ORANGE FLAG BLDG
City	:	SPOKANE
State	:	WA
Zip	:	99202-4862
Country	:	US
Telephone Number	:	509-535-2045
Fax Number	:	509-535-2046

Provider Business Practice Location Address
First Line	:	104 S FREYA ST
Second Line	:	STE 215B ORANGE FLAG BLDG
City	:	SPOKANE
State	:	WA
Zip	:	99202-4862
Country	:	US
Telephone Number	:	509-535-2045
Fax Number	:	509-535-2046

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHAWN HORN
Credential	:	PSYD, PS
Telephone Number	:	509-535-2045

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	08/22/2020

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