Individual
ELLEN A HORWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
402 N KEENE ST, STE 101, COLUMBIA, MO 65201-6986
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-6921
(573) 882-1154
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY01213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259936
HEALTHLINK
MO
05
—
493396303
—
MO
01
—
7460
BLUE SHIELD/BLUE CHOICE
MO
01
—
7504019
UNITED HEALTHCARE
MO
Enumeration date
05/19/2006
Last updated
08/16/2011
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