Provider Demographics
NPI:1396177408
Name:RIKER, JUAN RAMON (PHD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:RAMON
Last Name:RIKER
Suffix:
Gender:M
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:COUNSELING AND PSYCHOLOGICAL SERVICES
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-7030
Mailing Address - Country:US
Mailing Address - Phone:805-893-4411
Mailing Address - Fax:805-893-5259
Practice Address - Street 1:COUNSELING AND PSYCHOLOGICAL SERVICES
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-7030
Practice Address - Country:US
Practice Address - Phone:805-893-4411
Practice Address - Fax:805-893-5259
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 15855103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling