Provider Demographics
NPI:1609578996
Name:FLETCHER HORVATH, MARIE
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:FLETCHER HORVATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3536 MARMALADE CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8216
Mailing Address - Country:US
Mailing Address - Phone:425-765-6460
Mailing Address - Fax:
Practice Address - Street 1:3536 MARMALADE CT
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-8216
Practice Address - Country:US
Practice Address - Phone:425-765-6460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician