Provider Demographics
NPI:1902150915
Name:HOROWSKI, DEBRA S (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:S
Last Name:HOROWSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10235 NE 58TH ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7440
Mailing Address - Country:US
Mailing Address - Phone:425-827-5824
Mailing Address - Fax:
Practice Address - Street 1:10235 NE 58TH ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7440
Practice Address - Country:US
Practice Address - Phone:425-827-5824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3096103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical