Provider Demographics
NPI:1548579337
Name:SCHOCKNER, LYNN M (MFT)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:M
Last Name:SCHOCKNER
Suffix:
Gender:F
Credentials:MFT
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 23911
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93121-3911
Mailing Address - Country:US
Mailing Address - Phone:805-962-9599
Mailing Address - Fax:
Practice Address - Street 1:1018 GARDEN ST
Practice Address - Street 2:#102
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-1466
Practice Address - Country:US
Practice Address - Phone:805-962-9599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT34944106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist