Provider Demographics
NPI:1376602029
Name:HORN, LINDA (MSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:HORN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 LAFAYETTE AVE
Mailing Address - Street 2:APT . 1A
Mailing Address - City:PROSPECT PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19076-2216
Mailing Address - Country:US
Mailing Address - Phone:610-938-9383
Mailing Address - Fax:
Practice Address - Street 1:1013 LAFAYETTE AVE
Practice Address - Street 2:APT . 1A
Practice Address - City:PROSPECT PARK
Practice Address - State:PA
Practice Address - Zip Code:19076-2216
Practice Address - Country:US
Practice Address - Phone:610-938-9383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker