Provider Demographics
NPI:1124310362
Name:HORN, WENDY MARIE (MASTERS IN PSYCHOLOG)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:MARIE
Last Name:HORN
Suffix:
Gender:F
Credentials:MASTERS IN PSYCHOLOG
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:MARIE
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:(MA)
Mailing Address - Street 1:107 1/2 W. HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32347-1320
Mailing Address - Country:US
Mailing Address - Phone:850-371-0275
Mailing Address - Fax:
Practice Address - Street 1:1911 WILLIAMS DR STE 200
Practice Address - Street 2:A NEW START FOR MOMS, VENTURA COUNTY BEHAVIORAL HEALTH
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0673
Practice Address - Country:US
Practice Address - Phone:805-981-9250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-06
Last Update Date:2023-08-10
Deactivation Date:2016-02-02
Deactivation Code:
Reactivation Date:2023-08-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health