Provider Demographics
NPI:1154355881
Name:HORN, LUISA S (PHD)
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:S
Last Name:HORN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3184 BURNLEY PL
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2902
Mailing Address - Country:US
Mailing Address - Phone:267-575-0632
Mailing Address - Fax:267-685-4296
Practice Address - Street 1:696 SECOND STREET PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1068
Practice Address - Country:US
Practice Address - Phone:267-575-0632
Practice Address - Fax:267-685-4296
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003493L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist