Provider Demographics
NPI:1942499314
Name:HORTON, BARRY (LPC)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:
Last Name:HORTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 VETERANS SQ
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3129
Mailing Address - Country:US
Mailing Address - Phone:877-808-1896
Mailing Address - Fax:610-480-8913
Practice Address - Street 1:12 VETERANS SQ
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3129
Practice Address - Country:US
Practice Address - Phone:877-808-1896
Practice Address - Fax:610-480-8913
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004741101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional