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NPI Code Detail

MEDICARE: DR. JANET NOBLE IVERSEN PH.D.

MEDICARE: DR. JANET NOBLE IVERSEN PH.D.
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
1103TC1900XCounseling PsychologistPSY 15295CA

General Provider Information

NPI Number : 1982824306
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET NOBLE IVERSEN PH.D.
Provider Business Mailing Address
First Line : 2020 ALAMEDA PADRE SERRA
Second Line : EBBETTS HALL SUITE 211
City : SANTA BARBARA
State : CA
Zip : 93103-1756
Country : US
Telephone Number : 805-965-2407
Fax Number :
Provider Business Practice Location Address
First Line : 2020 ALAMEDA PADRE SERRA
Second Line : EBBETTS HALL SUITE 211
City : SANTA BARBARA
State : CA
Zip : 93103-1756
Country : US
Telephone Number : 805-965-2407
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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