Provider Demographics
NPI:1568179331
Name:LATHROP, ORIAN M
Entity Type:Individual
Prefix:
First Name:ORIAN
Middle Name:M
Last Name:LATHROP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 VIA ROSA UNIT C
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1487
Mailing Address - Country:US
Mailing Address - Phone:805-705-1680
Mailing Address - Fax:
Practice Address - Street 1:922 STATE ST # 5
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6795
Practice Address - Country:US
Practice Address - Phone:805-705-1680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA131977106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist