Provider Demographics
NPI:1639454515
Name:LION, JUDITH (MA)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:LION
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:RUDI
Other - Middle Name:
Other - Last Name:LION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2020 ALAMEDA PADRE SERRA
Mailing Address - Street 2:SUITE 217
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-1756
Mailing Address - Country:US
Mailing Address - Phone:805-453-4826
Mailing Address - Fax:
Practice Address - Street 1:2020 ALAMEDA PADRE SERRA
Practice Address - Street 2:SUITE 217
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-1756
Practice Address - Country:US
Practice Address - Phone:805-453-4826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48741106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12283734OtherCHQH