Individual
DR. MICHAEL DAVID HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
109 BEE ST., MENTAL HEALTH (116), VAMC, CHARLESTON, SC 29401-5799
(843) 577-5011
Mailing address
109 BEE ST., MENTAL HEALTH (116), VAMC, CHARLESTON, SC 29401-5799
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
614
SC
103TC0700X
Clinical Psychologist
614
SC
Other
Enumeration date
09/20/2006
Last updated
07/12/2007
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