Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 18721 | CA |
NPI | 1023287588 |
---|---|
Provider Name | Dr. Todd Christopher O'hearn |
First Address | Santa Barbara, CA 93101-6522 |
Second Address | Santa Barbara, CA 93101-6522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 28/02/2008 |