Provider Demographics
NPI:1114050150
Name:HOROWITZ, ELLEN H (MA, CCC)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:H
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-2806
Mailing Address - Country:US
Mailing Address - Phone:203-226-3012
Mailing Address - Fax:
Practice Address - Street 1:11 CEDAR LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:CT
Practice Address - Zip Code:06883-2806
Practice Address - Country:US
Practice Address - Phone:203-226-3012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist