Provider Demographics
NPI:1811167117
Name:LAWRENCE, TARYN L (MS)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:L
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 E VICTORIA ST STE J
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-8743
Mailing Address - Country:US
Mailing Address - Phone:805-252-1849
Mailing Address - Fax:805-962-6472
Practice Address - Street 1:27 E VICTORIA ST STE J
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8743
Practice Address - Country:US
Practice Address - Phone:805-252-1849
Practice Address - Fax:805-962-6472
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40976101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health