Healthcare Provider Details

I. General information

NPI: 1205919552
Provider Name (Legal Business Name): ARNOLD ZANE HOROWITZ LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 ELM ST
WALTHAM MA
02453-5356
US

IV. Provider business mailing address

2 WESTGATE RD
FRAMINGHAM MA
01701-8836
US

V. Phone/Fax

Practice location:
  • Phone: 781-894-8440
  • Fax: 781-894-1202
Mailing address:
  • Phone: 508-872-2421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103112
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: