Provider Demographics
NPI:1033809439
Name:HOROWITZ, MONICA LISA (PSYD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LISA
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 3RD ST APT A413
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4367
Mailing Address - Country:US
Mailing Address - Phone:215-520-5118
Mailing Address - Fax:
Practice Address - Street 1:1840 SAN MIGUEL DR STE 207
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4912
Practice Address - Country:US
Practice Address - Phone:510-479-0277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94027460103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical