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DR. GORDON J HORN PHD

Clinical Neuropsychologist

Maitland, Florida

Provider NPI: 1609801521

Provider Information:
DR. GORDON J HORN PHD
Gender: M
Not Sole Proprietor

Practice Location:
341 N MAITLAND AVE STE 135  MAITLAND, FL 32751 US
Tel: 407-592-9913  Fax: 407-386-6085

Business Mailing Address:
341 N MAITLAND AVE STE 135  MAITLAND, FL 32751 US
Tel: 407-592-9913  Fax: 407-386-6085

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC2252
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY5700

Other Provider Identifiers:

IssuerNumberStateType
BCBS54227FL01
RAILROAD MEDICARE68000951601
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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