NPI | 1942382536 |
---|---|
Former Name | TERRI LYNN HOROWITZ |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 015108-1) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00411400) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2011-09-09 |