MEDICARE: DR. JENNIFER L HOROWITZ 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
1	103TC0700X	Clinical Psychologist	21334	CA
2	103TC0700X	Clinical Psychologist	PS016245	PA

General Provider Information

NPI Number	:	1730222381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER L HOROWITZ PH.D.

Provider Business Mailing Address
First Line	:	1 UNIVERSITY PL
Second Line	:
City	:	CHESTER
State	:	PA
Zip	:	19013-5700
Country	:	US
Telephone Number	:	610-499-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY PL
Second Line	:
City	:	CHESTER
State	:	PA
Zip	:	19013-5700
Country	:	US
Telephone Number	:	610-499-4000
Fax Number	:

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/12/2007

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