Provider Demographics
NPI:1407126121
Name:HOROWITZ, CINDY KLEIN
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:KLEIN
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:KLEIN
Other - Last Name:HOROWITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1400 RICHARDS CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-7103
Mailing Address - Country:US
Mailing Address - Phone:770-569-5734
Mailing Address - Fax:
Practice Address - Street 1:1400 RICHARDS CIR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7103
Practice Address - Country:US
Practice Address - Phone:770-569-5734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12133338235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist