Organization
ANDREA M KULBERG, PHD CLINICAL PSYCHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON KNOX (BILLING MANAGER)
(805) 729-0180
Entity
Organization
Contact information
Practice address
1482 E VALLEY RD STE 17, MONTECITO, CA 93108-1200
(805) 705-0614
Mailing address
1187 COAST VILLAGE RD STE 375, SANTA BARBARA, CA 93108-2737
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
11/15/2024
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