Provider Demographics
NPI:1811057946
Name:EARLY, TERRENCE S (MD)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:S
Last Name:EARLY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:111 W MICHELTORENA ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3095
Mailing Address - Country:US
Mailing Address - Phone:805-845-8770
Mailing Address - Fax:805-845-0997
Practice Address - Street 1:111 W MICHELTORENA ST
Practice Address - Street 2:SUITE 320
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3095
Practice Address - Country:US
Practice Address - Phone:805-845-8770
Practice Address - Fax:805-845-0997
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2013-04-10
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Provider Licenses
StateLicense IDTaxonomies
TXJ47842084P0800X
CAG881652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACU378AMedicare UPIN