Provider Demographics
NPI:1720227119
Name:HALLOCK, NORA (PHD)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:HALLOCK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2429 BATH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-5337
Mailing Address - Country:US
Mailing Address - Phone:805-687-5491
Mailing Address - Fax:805-687-2442
Practice Address - Street 1:2429 BATH ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5337
Practice Address - Country:US
Practice Address - Phone:805-687-5491
Practice Address - Fax:805-687-2442
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11441103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical