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NPI Code Detail

MEDICARE: MR. RAYMOND MAYER LCSW

MEDICARE: MR. RAYMOND MAYER LCSW
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
11041C0700XClinical Social Worker22293CA

General Provider Information

NPI Number : 1962572149
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND MAYER LCSW
Provider Business Mailing Address
First Line : 2034 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3814
Country : US
Telephone Number : 805-884-6885
Fax Number : 805-884-6888
Provider Business Practice Location Address
First Line : 2034 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3814
Country : US
Telephone Number : 805-884-6885
Fax Number : 805-884-6888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 11/26/2012

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