MEDICARE: DR. ANN LESLIE ALBANESE PH.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
1	103T00000X	Psychologist
2	103T00000X	Psychologist	PSY17722

General Provider Information

NPI Number	:	1053637470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN LESLIE ALBANESE PH.D

Provider Business Mailing Address
First Line	:	PO BOX 956
Second Line	:
City	:	SOLVANG
State	:	CA
Zip	:	93464-0956
Country	:	US
Telephone Number	:	805-350-3908
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 ALAMEDA PADRE SERRA
Second Line	:	STE 211
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-1756
Country	:	US
Telephone Number	:	805-350-3908
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2010
Last Update Date	:	08/27/2025

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