Provider Demographics
NPI:1902201239
Name:HORTA, LINDSEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:HORTA
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 1:2932 VILLA CATALONIA CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-4606
Mailing Address - Country:US
Mailing Address - Phone:951-640-8924
Mailing Address - Fax:
Practice Address - Street 1:2932 VILLA CATALONIA CIR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-4606
Practice Address - Country:US
Practice Address - Phone:951-640-8924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program