Provider Demographics
NPI:1689197279
Name:HORNER, STEPHAINE ANN (MA)
Entity Type:Individual
Prefix:
First Name:STEPHAINE
Middle Name:ANN
Last Name:HORNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 WEST ST FL 4
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120-2563
Mailing Address - Country:US
Mailing Address - Phone:412-461-4100
Mailing Address - Fax:
Practice Address - Street 1:1800 WEST ST FL 4
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-2563
Practice Address - Country:US
Practice Address - Phone:412-461-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health