Individual
DR. MICHELLE HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4700 N RAVENSWOOD AVE STE C, CHICAGO, IL 60640-4408
(773) 754-7441
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 834-4245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
071010070
IL
103TC0700X
Clinical Psychologist
Primary
071010070
IL
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
07/25/2017
Last updated
10/28/2024
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