Provider Demographics
NPI:1851440499
Name:HORIN, CHRISTA MARIE (CHRISTA HORIN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTA
Middle Name:MARIE
Last Name:HORIN
Suffix:
Gender:F
Credentials:CHRISTA HORIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N METRO BLVD
Mailing Address - Street 2:#1159
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3105
Mailing Address - Country:US
Mailing Address - Phone:480-710-4454
Mailing Address - Fax:
Practice Address - Street 1:505 W HOUSTON AVE
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-2072
Practice Address - Country:US
Practice Address - Phone:480-632-4785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool