Healthcare Provider Details
I. General information
NPI: 1942248687
Provider Name (Legal Business Name): RAILA HORNE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 06/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1061 N PALM CANYON DR
PALM SPRINGS CA
92262-4419
US
IV. Provider business mailing address
72877 DINAH SHORE DR SUITE 103-121
RANCHO MIRAGE CA
92270-2709
US
V. Phone/Fax
- Phone: 760-831-2137
- Fax:
- Phone: 760-831-2137
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | PSY18595 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TA0700X |
| Taxonomy | Adult Development & Aging Psychologist |
| License Number | PSY18595 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PSY18595 |
| License Number State | CA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0100X |
| Taxonomy | Health Service Psychologist |
| License Number | PSY18595 |
| License Number State | CA |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TR0400X |
| Taxonomy | Rehabilitation Psychologist |
| License Number | PSY18595 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: