Provider Demographics
NPI:1053637470
Name:ALBANESE, ANN LESLIE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:LESLIE
Last Name:ALBANESE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:LESLIE
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 956
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93464-0956
Mailing Address - Country:US
Mailing Address - Phone:805-350-3908
Mailing Address - Fax:
Practice Address - Street 1:2020 ALAMEDA PADRE SERRA
Practice Address - Street 2:STE 211
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-1756
Practice Address - Country:US
Practice Address - Phone:805-350-3908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
PSY17722103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist