Provider Demographics
NPI:1639362759
Name:PONCET, LINDA L
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:PONCET
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 1:22 W MISSION ST
Mailing Address - Street 2:STE A
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2450
Mailing Address - Country:US
Mailing Address - Phone:805-884-8030
Mailing Address - Fax:805-884-8031
Practice Address - Street 1:22 W MISSION ST
Practice Address - Street 2:STE A
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2450
Practice Address - Country:US
Practice Address - Phone:805-884-8030
Practice Address - Fax:805-884-8031
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health