Basic Information
| Provider Information | |||||||||
| NPI: | 1487620266 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HORN | ||||||||
| FirstName: | SHAWN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSYD, PS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 S FREYA ST | ||||||||
| Address2: | STE 215B ORANGE FLAG BLDG | ||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992024862 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095352045 | ||||||||
| FaxNumber: | 5095352046 | ||||||||
| Practice Location | |||||||||
| Address1: | 104 S FREYA ST | ||||||||
| Address2: | STE 215B ORANGE FLAG BLDG | ||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992024862 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095352045 | ||||||||
| FaxNumber: | 5095352046 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2006 | ||||||||
| LastUpdateDate: | 03/07/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PY60104618 | WA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.