Provider Demographics
NPI:1891949376
Name:ULRICK, DEBRA ANN (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:ANN
Last Name:ULRICK
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 JENNILSA RD
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-2061
Mailing Address - Country:US
Mailing Address - Phone:805-686-1464
Mailing Address - Fax:805-688-1891
Practice Address - Street 1:1520 JENNILSA RD
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2061
Practice Address - Country:US
Practice Address - Phone:805-686-1464
Practice Address - Fax:805-688-1891
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42620106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist