Provider Demographics
NPI:1407128374
Name:MONTOJO, PATRICIA CABRERA (PHD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CABRERA
Last Name:MONTOJO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:PATRICIA
Other - Last Name:CABRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:948 EMBARCADERO DEL NORTE STE 102
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-5106
Mailing Address - Country:US
Mailing Address - Phone:805-453-9458
Mailing Address - Fax:
Practice Address - Street 1:948 EMBARCADERO DEL NORTE STE 102
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-5106
Practice Address - Country:US
Practice Address - Phone:805-453-9458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28485103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical