Provider Demographics
NPI:1336416478
Name:WHITNEY, THOMAS THEODORE
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:THEODORE
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W CARRILLO ST
Mailing Address - Street 2:#101 - PATHPOINT
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6904
Mailing Address - Country:US
Mailing Address - Phone:805-963-8156
Mailing Address - Fax:805-564-8025
Practice Address - Street 1:315 W CARRILLO ST
Practice Address - Street 2:#101 - PATHPOINT
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6904
Practice Address - Country:US
Practice Address - Phone:805-963-8156
Practice Address - Fax:805-564-8025
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health