Healthcare Provider Details

I. General information

NPI: 1982920989
Provider Name (Legal Business Name): SARAH LACEY-HORINE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LACEY PSY.D.

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 04/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 W EADS PKWY
LAWRENCEBURG IN
47025-1139
US

IV. Provider business mailing address

427 W EADS PKWY
LAWRENCEBURG IN
47025-1139
US

V. Phone/Fax

Practice location:
  • Phone: 812-537-7375
  • Fax: 812-537-5219
Mailing address:
  • Phone: 812-537-7375
  • Fax: 812-537-5219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20042345A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6621
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: