Healthcare Provider Details

I. General information

NPI: 1801044169
Provider Name (Legal Business Name): BERNARD NJUGUNA PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 CAMINO DE VIDA APT C
SANTA BARBARA CA
93111-2226
US

IV. Provider business mailing address

186 CAMINO DE VIDA APT C
SANTA BARBARA CA
93111-2226
US

V. Phone/Fax

Practice location:
  • Phone: 805-708-4508
  • Fax:
Mailing address:
  • Phone: 805-708-4508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: