Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY5295 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY5295 | CA |
NPI | 1003822768 |
---|---|
Provider Name | Dr. Kurt Goerwitz |
First Address | Santa Barbara, CA 93101 |
Second Address | Santa Barbara, CA 93101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 27/09/2010 |