Provider Demographics
NPI:1285966135
Name:HORN, PAULA R (LMFT, MFC #7074, CA)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:R
Last Name:HORN
Suffix:
Gender:F
Credentials:LMFT, MFC #7074, CA
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:HORN
Other - Last Name:UNGAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:715 SILVER SPUR ROAD
Mailing Address - Street 2:SUITE #209
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274
Mailing Address - Country:US
Mailing Address - Phone:310-541-2269
Mailing Address - Fax:310-544-1829
Practice Address - Street 1:715 SILVER SPUR ROAD
Practice Address - Street 2:SUITE #209
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274
Practice Address - Country:US
Practice Address - Phone:310-541-2269
Practice Address - Fax:310-544-1829
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC7074106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist