Individual
ANGELITA MAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3960 VIA LUCERO APT 12, SANTA BARBARA, CA 93110-1648
(805) 569-3139
(805) 988-2240
Mailing address
3960 VIA LUCERO APT 12, SANTA BARBARA, CA 93110-1648
(805) 569-3139
(805) 988-2240
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PSY12363
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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