Provider Demographics
NPI:1376023549
Name:ZIMMERMAN-BOSTWICK, ALYSON H (LMFT)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:H
Last Name:ZIMMERMAN-BOSTWICK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 CLIFF DRIVE
Mailing Address - Street 2:STUDENT HEALTH & WELLNESS
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-2394
Mailing Address - Country:US
Mailing Address - Phone:805-954-0581
Mailing Address - Fax:805-560-6572
Practice Address - Street 1:721 CLIFF DRIVE
Practice Address - Street 2:STUDENT HEALTH & WELLNESS
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109
Practice Address - Country:US
Practice Address - Phone:805-954-0581
Practice Address - Fax:805-560-6572
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30523106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist