Individual
PAMELA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1618 WILLIAMS DR, SUITE 6, GEORGETOWN, TX 78628-3660
(512) 931-2162
Mailing address
PO BOX 1087, GEORGETOWN, TX 78627-1087
(512) 931-2162
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-5250
TX
103TC0700X
Clinical Psychologist
PS009206L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360430-01
—
TX
Enumeration date
01/25/2006
Last updated
09/18/2008
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