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DR. GLENN PHILLIP HORWITZ PH.D.

Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1437335734

Individual Registrant:
DR. GLENN PHILLIP HORWITZ PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
9518C LEE HWY  FAIRFAX, VA 22031 US
Tel: 571-438-2992  Fax: --

Contact information for business:
9518C LEE HWY  FAIRFAX, VA 22031-2303 US
Tel: 571-438-2992  Fax: --

Registration Information:
NPI: 1437335734
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
VA0810003784
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
VA0810003784
N103TP0814XBehavioral Health & Social Service Providers
Psychologist
VA0810003784
N103TS0200XBehavioral Health & Social Service Providers
Psychologist
VA0810003784
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
VA0810003784

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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