Provider Demographics
NPI:1255546917
Name:HORVATH, PAULA MARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:MARIA
Last Name:HORVATH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:HORVATH
Other - Last Name:FINESTONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:601 ELMWOOD AVE.
Mailing Address - Street 2:BOX 664
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4901 LAC DE VILLE BLVD.
Practice Address - Street 2:BLDG D, SUITE 250
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5649
Practice Address - Country:US
Practice Address - Phone:585-275-5321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-006379-L103TB0200X, 103TC0700X, 103TH0004X
NY024920103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth