Provider Demographics
NPI:1902003031
Name:HORN-ALSBERGE, MICHELE MARYANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:MARYANN
Last Name:HORN-ALSBERGE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:814 MONROE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-1744
Mailing Address - Country:US
Mailing Address - Phone:570-420-9494
Mailing Address - Fax:570-420-9494
Practice Address - Street 1:814 MONROE ST
Practice Address - Street 2:STE 105
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1744
Practice Address - Country:US
Practice Address - Phone:570-420-9494
Practice Address - Fax:570-420-9494
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016577103TC0700X, 103TC0700X
NJ35S100489200103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical