Provider Demographics
NPI:1811608466
Name:HOROWITZ, JUNE ANDREWS
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:ANDREWS
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-1680
Mailing Address - Country:US
Mailing Address - Phone:617-331-4705
Mailing Address - Fax:
Practice Address - Street 1:7 FIELDSTONE DR
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1680
Practice Address - Country:US
Practice Address - Phone:617-331-4705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA118984163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult