MEDICARE: MS. JAN HORWITZ

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	235Z00000X	Speech-Language Pathologist	SL001113L	PA

General Provider Information

NPI Number	:	1922166818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JAN HORWITZ

Provider Business Mailing Address
First Line	:	2201 BROWN STREET
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19130-4201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 BROWN STREET
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19130-4201
Country	:	US
Telephone Number	:	215-684-5074
Fax Number	:

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	03/16/2011

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Directions to “ MS. JAN HORWITZ ” Practice Location

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