MEDICARE: MICHAEL VOGEL MA, PHD(ABD)

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	92534	CA

General Provider Information

NPI Number	:	1821442807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL VOGEL MA, PHD(ABD)

Provider Business Mailing Address
First Line	:	307 E CARRILLO ST
Second Line	:	SUITE C
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-1410
Country	:	US
Telephone Number	:	805-680-6292
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 E CARRILLO ST
Second Line	:	SUITE C
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-1410
Country	:	US
Telephone Number	:	805-680-6292
Fax Number	:

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

Provider Enumeration Date	:	04/16/2016
Last Update Date	:	07/31/2024

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