Individual
MARVIN JOSEPH AULTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
315 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
(805) 681-5244
(805) 681-4382
Mailing address
315 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
(805) 681-5244
(805) 681-4382
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT28820
BOARD OF VOCATIONAL NURSES AND PSYCHIATRIC TECHNICIANS
CA
Enumeration date
01/31/2012
Last updated
01/31/2012
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