Provider Demographics
NPI:1386767507
Name:SALLY SINGER HORWATT, PH.D., PC
Entity type:Organization
Organization Name:SALLY SINGER HORWATT, PH.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:SINGER
Authorized Official - Last Name:HORWATT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-435-4741
Mailing Address - Street 1:1800 TOWN CENTER DR
Mailing Address - Street 2:SUITE 216
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3215
Mailing Address - Country:US
Mailing Address - Phone:703-435-4741
Mailing Address - Fax:703-435-5881
Practice Address - Street 1:1800 TOWN CENTER DR
Practice Address - Street 2:SUITE 216
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3215
Practice Address - Country:US
Practice Address - Phone:703-435-4741
Practice Address - Fax:703-435-5881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810000918103TC0700X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA87726OtherUNITED BEHAVIORAL HEALTH
VA4602666OtherAETNA
VA4602666OtherAETNA