MEDICARE: DR. WILLA C HOROWITZ AU.D., CCC-A, FAAA

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	237600000X	Audiologist-Hearing Aid Fitter	000127	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4899970	OTHER	CT	GHI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396957163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLA C HOROWITZ AU.D., CCC-A, FAAA

Provider Business Mailing Address
First Line	:	130 MOUNT SANFORD ROAD
Second Line	:
City	:	HAMDEN
State	:	CT
Zip	:	06518-1210
Country	:	US
Telephone Number	:	203-640-2198
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 MOUNT SANFORD ROAD
Second Line	:
City	:	HAMDEN
State	:	CT
Zip	:	06518-1210
Country	:	US
Telephone Number	:	203-640-2198
Fax Number	:	203-287-9781

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	09/21/2016

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