| Dr Mary C Horn Llc | |
|
45-955 Kamehameha Hwy #306 Kaneohe HI 96744-3222 | |
| (808) 247-2961 | |
| (808) 247-2962 |
| Full Name | Dr Mary C Horn Llc |
|---|---|
| Speciality | Psychologist |
| Location | 45-955 Kamehameha Hwy, Kaneohe, Hawaii |
| Authorized Official Name and Position | Mary C Horn (OWNER) |
| Authorized Official Contact | 8082472961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary C Horn Llc 45-955 Kamehameha Hwy #306 Kaneohe HI 96744-3222 Ph: (808) 247-2961 | Dr Mary C Horn Llc 45-955 Kamehameha Hwy #306 Kaneohe HI 96744-3222 Ph: (808) 247-2961 |
| NPI Number | 1073606760 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 02/12/2009 |
| Medicare PECOS PAC ID | 7113072729 |
|---|---|
| Medicare Enrollment ID | O20090903000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073606760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY755 (Hawaii) | Primary |
| Provider Name | Mary C Horn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770681850 PECOS PAC ID: 0749235653 Enrollment ID: I20050314000758 |
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