Provider Demographics
NPI:1801044169
Name:NJUGUNA, BERNARD (PHD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:NJUGUNA
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 1:186 CAMINO DE VIDA APT C
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2226
Mailing Address - Country:US
Mailing Address - Phone:805-708-4508
Mailing Address - Fax:
Practice Address - Street 1:186 CAMINO DE VIDA APT C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2226
Practice Address - Country:US
Practice Address - Phone:805-708-4508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty