Provider Demographics
NPI:1235104563
Name:SHAWN HORN, PSYD, PS
Entity Type:Organization
Organization Name:SHAWN HORN, PSYD, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, PS
Authorized Official - Phone:509-535-2045
Mailing Address - Street 1:104 S FREYA ST
Mailing Address - Street 2:STE 215B ORANGE FLAG BLDG
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4862
Mailing Address - Country:US
Mailing Address - Phone:509-535-2045
Mailing Address - Fax:509-535-2046
Practice Address - Street 1:104 S FREYA ST
Practice Address - Street 2:STE 215B ORANGE FLAG BLDG
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4862
Practice Address - Country:US
Practice Address - Phone:509-535-2045
Practice Address - Fax:509-535-2046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH8448101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty