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NPI Code Detail

MEDICARE: DR. RAILA HORNE PSY.D.

MEDICARE: DR. RAILA HORNE PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical NeuropsychologistPSY18595CA
2103TA0700XAdult Development & Aging PsychologistPSY18595CA
3103TC0700XClinical PsychologistPSY18595CA
4103TH0100XHealth Service PsychologistPSY18595CA
5103TR0400XRehabilitation PsychologistPSY18595CA

General Provider Information

NPI Number : 1942248687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAILA HORNE PSY.D.
Provider Business Mailing Address
First Line : 72877 DINAH SHORE DR
Second Line : SUITE 103-121
City : RANCHO MIRAGE
State : CA
Zip : 92270-2709
Country : US
Telephone Number : 760-831-2137
Fax Number :
Provider Business Practice Location Address
First Line : 1061 N PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4419
Country : US
Telephone Number : 760-831-2137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 09/11/2025

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