Provider Demographics
NPI:1295959427
Name:MERCURIO, CLAIRE ST ANTOINE (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ST ANTOINE
Last Name:MERCURIO
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 1:106 W MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2819
Mailing Address - Country:US
Mailing Address - Phone:805-682-9208
Mailing Address - Fax:805-563-9045
Practice Address - Street 1:106 W MISSION ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2819
Practice Address - Country:US
Practice Address - Phone:805-682-9208
Practice Address - Fax:805-563-9045
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13244103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist