Individual
DR. SUSAN WYNN HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
237 NE CHKALOV DR, SUITE 110, VANCOUVER, WA 98684-5054
(360) 921-0745
(360) 260-9777
Mailing address
237 NE CHKALOV DR, SUITE 110, VANCOUVER, WA 98684-5054
(360) 921-0745
(360) 260-9777
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0274
OR
103TC0700X
Clinical Psychologist
Primary
PY1226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005384000
REGENCE BLUECROSS BLUESHI
OR
Enumeration date
03/24/2007
Last updated
11/01/2013
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