Individual
THOMAS JEROME HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 BOULEVARD AVE, DICKSON CITY, PA 18519-1710
(570) 383-2799
Mailing address
2608 NE 33RD ST, FORT LAUDERDALE, FL 33306-1516
(305) 796-2269
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PC005807L
PA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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