Provider Demographics
NPI:1942281993
Name:HORNER, DAVID ALFRED (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALFRED
Last Name:HORNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 W 5TH ST
Mailing Address - Street 2:#410
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4519
Mailing Address - Country:US
Mailing Address - Phone:714-834-6232
Mailing Address - Fax:714-796-0194
Practice Address - Street 1:405 W 5TH ST
Practice Address - Street 2:#410
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4519
Practice Address - Country:US
Practice Address - Phone:714-834-6232
Practice Address - Fax:714-796-0194
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9270103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist