Provider Demographics
NPI:1295988426
Name:PANTELEAKOS, FRANCES N (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:N
Last Name:PANTELEAKOS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:PANTELEAKOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1531 CHAPALA ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3060
Mailing Address - Country:US
Mailing Address - Phone:805-965-1332
Mailing Address - Fax:
Practice Address - Street 1:1531 CHAPALA ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3060
Practice Address - Country:US
Practice Address - Phone:805-965-1332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24467103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical