Provider Demographics
NPI:1245289065
Name:HOROWITZ, JUDITH ELLEN (PHD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ELLEN
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1999 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8918
Mailing Address - Country:US
Mailing Address - Phone:954-341-4911
Mailing Address - Fax:954-344-3733
Practice Address - Street 1:1999 N UNIVERSITY DR
Practice Address - Street 2:SUITE 214
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8918
Practice Address - Country:US
Practice Address - Phone:954-341-4911
Practice Address - Fax:954-344-3733
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY.002295103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist