Sarah Hornack, | |
3206 Chestnut Ave, Baltimore, MD 21211-2717 | |
(704) 860-2303 | |
Not Available |
Full Name | Sarah Hornack |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 3206 Chestnut Ave, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982070462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 05575 (Maryland) | Primary |
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
Mailing Address | Practice Location Address |
---|---|
Sarah Hornack, 3206 Chestnut Ave, Baltimore, MD 21211-2717 Ph: (704) 860-2303 | Sarah Hornack, 3206 Chestnut Ave, Baltimore, MD 21211-2717 Ph: (704) 860-2303 |
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