Provider Demographics
NPI:1457177263
Name:HOUTZ, CAREY RENE' (CPRS)
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:RENE'
Last Name:HOUTZ
Suffix:
Gender:F
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 1/2 PARK ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1750
Mailing Address - Country:US
Mailing Address - Phone:220-266-9029
Mailing Address - Fax:
Practice Address - Street 1:234 1/2 PARK ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1750
Practice Address - Country:US
Practice Address - Phone:220-266-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.005712175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist