Provider Demographics
NPI:1811039175
Name:SARVIS-HOROWITZ, PATRICIA DIANE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DIANE
Last Name:SARVIS-HOROWITZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 BLOCKFORD CT W
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-7425
Mailing Address - Country:US
Mailing Address - Phone:850-671-3293
Mailing Address - Fax:
Practice Address - Street 1:1420 BLOCKFORD CT W
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32317-7425
Practice Address - Country:US
Practice Address - Phone:850-510-5185
Practice Address - Fax:850-510-5185
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker