Provider Demographics
NPI:1588790026
Name:MEISEL, PAUL J (PHD)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:J
Last Name:MEISEL
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 1:120 E DE LA GUERRA ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2226
Mailing Address - Country:US
Mailing Address - Phone:805-965-1913
Mailing Address - Fax:
Practice Address - Street 1:120 E DE LA GUERRA ST
Practice Address - Street 2:SUITE D
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2226
Practice Address - Country:US
Practice Address - Phone:805-965-1913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY3576103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical