Provider Demographics
NPI:1215062492
Name:ANGELOS, JAMES STEVEN (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEVEN
Last Name:ANGELOS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:120 E DE LA GUERRA ST
Mailing Address - Street 2:STE. D
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2226
Mailing Address - Country:US
Mailing Address - Phone:805-962-6222
Mailing Address - Fax:805-962-6222
Practice Address - Street 1:120 E DE LA GUERRA ST
Practice Address - Street 2:STE. D
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2226
Practice Address - Country:US
Practice Address - Phone:805-962-6222
Practice Address - Fax:805-962-6222
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7069103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical