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NPI Code Detail

MEDICARE: JUDITH LION MA

MEDICARE: JUDITH LION MA
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
1106H00000XMarriage & Family Therapist48741CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112283734OTHERCACHQH

General Provider Information

NPI Number : 1639454515
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH LION MA
Provider Business Mailing Address
First Line : 2020 ALAMEDA PADRE SERRA
Second Line : SUITE 217
City : SANTA BARBARA
State : CA
Zip : 93103-1756
Country : US
Telephone Number : 805-453-4826
Fax Number :
Provider Business Practice Location Address
First Line : 2020 ALAMEDA PADRE SERRA
Second Line : SUITE 217
City : SANTA BARBARA
State : CA
Zip : 93103-1756
Country : US
Telephone Number : 805-453-4826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2011
Last Update Date : 10/11/2011

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Directions to “ JUDITH LION MA” Practice Location

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