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Organization

UNIVERSITY OF CALIFORNIA SANTA BARBARA

Active
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Organization

UNIVERSITY OF CALIFORNIA SANTA BARBARA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN KOEGEL (CLINIC DIRECTOR)
(805) 893-2049
Entity
Organization

Contact information

Practice address
KOEGEL AUTISM CENTER GGSE UCSB, SANTA BARBARA, CA 93106-9490
(805) 893-2049
(805) 893-2658
Mailing address
KOEGEL AUTISM CENTER GGSE UCSB, SANTA BARBARA, CA 93106-9490

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24597
CA

Other

Enumeration date
03/09/2012
Last updated
03/09/2012
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