Provider Demographics
NPI:1023395423
Name:HORST, THOMAS A (MA)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:HORST
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SAVO AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3940
Mailing Address - Country:US
Mailing Address - Phone:717-560-3999
Mailing Address - Fax:
Practice Address - Street 1:110 SAVO AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3940
Practice Address - Country:US
Practice Address - Phone:717-560-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional