| Emily Maynard, Phd, Psychologist, Inc. | |
|
5276 Hollister Ave Ste 205 Santa Barbara CA 93111-3066 | |
| (805) 229-1601 | |
| Not Available |
| Full Name | Emily Maynard, Phd, Psychologist, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5276 Hollister Ave Ste 205, Santa Barbara, California |
| Authorized Official Name and Position | Emily Woodman Maynard (DIRECTOR) |
| Authorized Official Contact | 9149608936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Maynard, Phd, Psychologist, Inc. 5276 Hollister Ave Ste 205 Santa Barbara CA 93111-3066 Ph: (805) 229-1601 | Emily Maynard, Phd, Psychologist, Inc. 5276 Hollister Ave Ste 205 Santa Barbara CA 93111-3066 Ph: (805) 229-1601 |
| NPI Number | 1144940289 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 2567847866 |
|---|---|
| Medicare Enrollment ID | O20220922003692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144940289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Emily Woodman Maynard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568976744 PECOS PAC ID: 3476938770 Enrollment ID: I20220922003750 |
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