Provider Demographics
NPI:1073545158
Name:HORTON, ARTHUR MACNEILL (EDD MED DPD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:MACNEILL
Last Name:HORTON
Suffix:
Gender:M
Credentials:EDD MED DPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SISTER PIERRE DR
Mailing Address - Street 2:403
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-823-6408
Mailing Address - Fax:443-279-0537
Practice Address - Street 1:120 SISTER PIERRE DR
Practice Address - Street 2:403
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-823-6408
Practice Address - Fax:443-279-0537
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01629103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0008OtherBSDC
1031728OtherCIGN GROUP
1031728OtherCIGN
39872202OtherBSMD
2512798OtherUNHC GROUP
000980OtherVAL GROUP
MD789001000Medicaid
252450OtherCOMP GROUP
593795443OtherMAMS GROUP
K452OtherBSDC GROUP
PVPB117714OtherAPS GROUP
226279OtherKAIS GROUP
790298000OtherMAGE GROUP
705BPSOtherBSMD GROUP
281464OtherPHCS GROUP
593795443OtherMAMD GROUP
150NOtherMBMD GROUP
360218OtherMHN GROUP
PVPB117714OtherAPS
MD789001000Medicaid