Provider Demographics
NPI:1639375769
Name:HORVATH, WILLIAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:HORVATH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 OLNEY DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3345
Mailing Address - Country:US
Mailing Address - Phone:716-836-5875
Mailing Address - Fax:
Practice Address - Street 1:20 MARKET ST
Practice Address - Street 2:230 BEWLEY BLDG.
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-2914
Practice Address - Country:US
Practice Address - Phone:716-625-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010747103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical