Provider Demographics
NPI:1952659294
Name:GREENWOOD, DIANA LYN (LMFT)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:LYN
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4039
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93140-4039
Mailing Address - Country:US
Mailing Address - Phone:805-708-3542
Mailing Address - Fax:
Practice Address - Street 1:307 1/2 W VICTORIA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3628
Practice Address - Country:US
Practice Address - Phone:805-708-3542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98131106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist