Provider Demographics
NPI:1447751995
Name:HORVITZ, ARIEL (MA IN CLINICAL PSYCH)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:HORVITZ
Suffix:
Gender:F
Credentials:MA IN CLINICAL PSYCH
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:LYNN MILLER
Other - Last Name:HORVITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:734 REBA PL APT 2F
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-4101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:618 LIBRARY PL
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-2908
Practice Address - Country:US
Practice Address - Phone:847-733-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist