Individual
DR. GLENN PHILLIP HORWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9518C LEE HWY, FAIRFAX, VA 22031
(571) 438-2992
Mailing address
9518C LEE HWY, FAIRFAX, VA 22031-2303
(571) 438-2992
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003784
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810003784
VA
103TF0200X
Forensic Psychologist
0810003784
VA
103TP0814X
Psychoanalysis Psychologist
0810003784
VA
103TS0200X
School Psychologist
0810003784
VA
Other
Enumeration date
01/16/2008
Last updated
02/06/2019
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