Provider Demographics
NPI:1144893587
Name:ANXIETY AND PANIC DISORDERS CLINIC OF SANTA BARBARA A PROF PSYCH CORP
Entity type:Organization
Organization Name:ANXIETY AND PANIC DISORDERS CLINIC OF SANTA BARBARA A PROF PSYCH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMIR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:805-369-1346
Mailing Address - Street 1:115 W ARRELLAGA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2978
Mailing Address - Country:US
Mailing Address - Phone:805-369-1346
Mailing Address - Fax:
Practice Address - Street 1:115 W ARRELLAGA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2978
Practice Address - Country:US
Practice Address - Phone:805-369-1346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty