Provider Demographics
NPI:1184332249
Name:DEBORAH SMILOVITZ FOSTER A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:DEBORAH SMILOVITZ FOSTER A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SMILOVITZ FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-637-5438
Mailing Address - Street 1:3055 PASEO TRANQUILLO
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2854
Mailing Address - Country:US
Mailing Address - Phone:805-637-5438
Mailing Address - Fax:805-830-0446
Practice Address - Street 1:22 W MICHELTORENA ST STE B
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6525
Practice Address - Country:US
Practice Address - Phone:805-637-5438
Practice Address - Fax:805-830-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty