Provider Demographics
NPI:1114250479
Name:LINK, CHRISTOPHER JAY (PSYD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAY
Last Name:LINK
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 STATE ST STE B11
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1898
Mailing Address - Country:US
Mailing Address - Phone:805-324-6843
Mailing Address - Fax:
Practice Address - Street 1:4141 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1814
Practice Address - Country:US
Practice Address - Phone:805-324-6843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27069103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical