| Anahita Holden Phd Pc | |
|
1227 De La Vina St Santa Barbara CA 93101-3129 | |
| (805) 699-6657 | |
| Not Available |
| Full Name | Anahita Holden Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1227 De La Vina St, Santa Barbara, California |
| Authorized Official Name and Position | Anahita Holden (DIRECTOR) |
| Authorized Official Contact | 8056996657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anahita Holden Phd Pc Po Box 3872 Santa Barbara CA 93130-3872 Ph: () - | Anahita Holden Phd Pc 1227 De La Vina St Santa Barbara CA 93101-3129 Ph: (805) 699-6657 |
| NPI Number | 1689142218 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 05/31/2019 |
| Medicare PECOS PAC ID | 5890035166 |
|---|---|
| Medicare Enrollment ID | O20190322002098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689142218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anahita N Holden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659772754 PECOS PAC ID: 9234479502 Enrollment ID: I20190325001732 |
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