Provider Demographics
NPI:1770645699
Name:HOROWITZ, SHARON GAIL (PHD IN CLINICAL PSYC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:GAIL
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:PHD IN CLINICAL PSYC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 NUECES ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1720
Mailing Address - Country:US
Mailing Address - Phone:512-474-4533
Mailing Address - Fax:
Practice Address - Street 1:1206 NUECES ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1720
Practice Address - Country:US
Practice Address - Phone:512-474-4533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21316103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist