Provider Demographics
NPI:1013143403
Name:HORCH, DWIGHT HENRY (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DWIGHT
Middle Name:HENRY
Last Name:HORCH
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8810
Mailing Address - Country:US
Mailing Address - Phone:267-987-7827
Mailing Address - Fax:
Practice Address - Street 1:9 HOLLY DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8810
Practice Address - Country:US
Practice Address - Phone:267-987-7827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-31
Last Update Date:2009-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F100163300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist