Provider Demographics
NPI:1821235615
Name:HORIZON PSYCHOLOGICAL SERVICES, INC
Entity Type:Organization
Organization Name:HORIZON PSYCHOLOGICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDWASSER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-673-3101
Mailing Address - Street 1:975 ARTHUR GODFREY RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3329
Mailing Address - Country:US
Mailing Address - Phone:305-673-3101
Mailing Address - Fax:305-673-4733
Practice Address - Street 1:975 ARTHUR GODFREY RD
Practice Address - Street 2:SUITE 308
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3329
Practice Address - Country:US
Practice Address - Phone:305-673-3101
Practice Address - Fax:305-673-4733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9616101YM0800X
FLPY4605103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty