MEDICARE: MATT TRAUBE

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	106H00000X	Marriage & Family Therapist	84815	CA
2	106H00000X	Marriage & Family Therapist	LMFT1545	MA

General Provider Information

NPI Number	:	1184914020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATT TRAUBE

Provider Business Mailing Address
First Line	:	3711 HITCHCOCK RANCH RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3177
Country	:	US
Telephone Number	:	781-223-8629
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 HITCHCOCK RANCH RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3177
Country	:	US
Telephone Number	:	781-223-8629
Fax Number	:

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

Provider Enumeration Date	:	04/12/2011
Last Update Date	:	12/06/2024

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Directions to “ MATT TRAUBE ” Practice Location

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