Provider Demographics
NPI:1689848616
Name:HORWITZ, JONAS ADAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:JONAS
Middle Name:ADAM
Last Name:HORWITZ
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 1:3721 UNIVERSITY DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6231
Mailing Address - Country:US
Mailing Address - Phone:919-401-6171
Mailing Address - Fax:
Practice Address - Street 1:3721 UNIVERSITY DR
Practice Address - Street 2:SUITE C
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6231
Practice Address - Country:US
Practice Address - Phone:919-401-6171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102778103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical