Provider Demographics
NPI:1952412355
Name:GIVEN, DEAN (PHD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:
Last Name:GIVEN
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 1:5290 OVERPASS RD
Mailing Address - Street 2:BUILDING C
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2042
Mailing Address - Country:US
Mailing Address - Phone:805-962-3288
Mailing Address - Fax:805-681-0029
Practice Address - Street 1:5290 OVERPASS RD
Practice Address - Street 2:BUILDING C
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2042
Practice Address - Country:US
Practice Address - Phone:805-962-3288
Practice Address - Fax:805-681-0029
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8529103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP8529Medicare ID - Type Unspecified