Provider Demographics
NPI:1457448045
Name:MAZER, NEAL S (MD, MPH)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:S
Last Name:MAZER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4056
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93140-4056
Mailing Address - Country:US
Mailing Address - Phone:805-570-6749
Mailing Address - Fax:
Practice Address - Street 1:110 1/2 E DE LA GUERRA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2205
Practice Address - Country:US
Practice Address - Phone:805-570-6749
Practice Address - Fax:805-966-5500
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG863142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry