Healthcare Provider Details

I. General information

NPI: 1720144074
Provider Name (Legal Business Name): MS. CHERYL LYNN MEUSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W VALERIO ST
SANTA BARBARA CA
93101-2930
US

IV. Provider business mailing address

1204 CALLE CERRITO
SANTA BARBARA CA
93101-4966
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-9917
  • Fax: 805-965-3797
Mailing address:
  • Phone: 805-448-3933
  • Fax: 805-965-3797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: