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NPI Code Detail

MEDICARE: DR. GARY C HORNER PH.D.

MEDICARE:  DR. GARY C HORNER  PH.D.
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
1103T00000XPsychologist0000372MO

General Provider Information

NPI Number : 1669513917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY C HORNER PH.D.
Provider Business Mailing Address
First Line : 410 SUNSET LN
Second Line :
City : BELTON
State : MO
Zip : 64012-1835
Country : US
Telephone Number : 816-331-5184
Fax Number :
Provider Business Practice Location Address
First Line : 1523 SW STATE ROUTE 7
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64014-3944
Country : US
Telephone Number : 816-229-3200
Fax Number : 816-229-0181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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Directions to “ DR. GARY C HORNER PH.D.” Practice Location

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