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NPI Code Detail

MEDICARE: DR. HEATHER LEE HORTON PH.D.

MEDICARE: DR. HEATHER LEE HORTON 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
1103TC0700XClinical Psychologist2810CO

General Provider Information

NPI Number : 1952545493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER LEE HORTON PH.D.
Provider Business Mailing Address
First Line : 14 E CACHE LA POUDRE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-3243
Country : US
Telephone Number : 719-227-8101
Fax Number : 719-389-6928
Provider Business Practice Location Address
First Line : 1115 ELKTON DR STE 102
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3597
Country : US
Telephone Number : 719-357-6471
Fax Number : 719-434-9811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2009
Last Update Date : 05/16/2024

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Directions to “ DR. HEATHER LEE HORTON PH.D.” Practice Location

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