Provider Demographics
NPI:1356591531
Name:EARHART, JAMES ALLEN JR
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALLEN
Last Name:EARHART
Suffix:JR
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 1:160 CAMINO DE VIDA APT F
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2231
Mailing Address - Country:US
Mailing Address - Phone:831-917-7727
Mailing Address - Fax:
Practice Address - Street 1:4400 CATHEDRAL OAKS RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1042
Practice Address - Country:US
Practice Address - Phone:805-964-4711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool