Healthcare Provider Details

I. General information

NPI: 1467548446
Provider Name (Legal Business Name): ANN C HORWITZ ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 CONCORD AVE SUITE 20
CAMBRIDGE MA
02138-1125
US

IV. Provider business mailing address

61 WALNUT ST
ARLINGTON MA
02476-6151
US

V. Phone/Fax

Practice location:
  • Phone: 781-354-0204
  • Fax: 866-788-7789
Mailing address:
  • Phone: 781-354-0204
  • Fax: 866-788-7789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6092
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: