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NPI Code Detail

MEDICARE: ANTOINETTE CHROMAN ED.S

MEDICARE:   ANTOINETTE  CHROMAN  ED.S
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
1103K00000XBehavior Analyst1-10-7879CA
2103TS0200XSchool Psychologist3551CA

General Provider Information

NPI Number : 1407408628
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTOINETTE CHROMAN ED.S
Provider Business Mailing Address
First Line : 1217 LAGUNA ST APT A
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-1315
Country : US
Telephone Number : 619-929-6686
Fax Number :
Provider Business Practice Location Address
First Line : 7 W FIGUEROA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3189
Country : US
Telephone Number : 805-308-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 07/09/2019

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Directions to “ ANTOINETTE CHROMAN ED.S” Practice Location

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