Provider Demographics
NPI:1235289349
Name:HOROWITZ, LISA ABBEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ABBEY
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 WISCASSET RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20816-2112
Mailing Address - Country:US
Mailing Address - Phone:301-320-4549
Mailing Address - Fax:703-385-8353
Practice Address - Street 1:3959 PENDER DR STE 320
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6041
Practice Address - Country:US
Practice Address - Phone:703-352-3822
Practice Address - Fax:703-385-5383
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002885103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical