Individual
MS. ELISA ANTONIETA GOTTHEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 PASEO NUEVO # 2F, SANTA BARBARA, CA 93101-3382
(805) 308-4568
(805) 308-4568
Mailing address
1105 LAS OLAS AVE, SANTA BARBARA, CA 93109-2114
(805) 308-4568
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY22753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY22753
PSYCHOLOGIST LICENSE BY BOP
CA
Enumeration date
12/07/2006
Last updated
10/22/2018
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