Basic Information
Provider Information
NPI: 1245302256
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGAN
FirstName: STEVEN
MiddleName: M.
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4444 CALLE REAL
Address2: S.B. COUNTY MENTAL HEALTH
City: SANTA BARBARA
State: CA
PostalCode: 931101002
CountryCode: US
TelephoneNumber: 8056815190
FaxNumber:  
Practice Location
Address1: 4444 CALLE REAL
Address2: S.B. COUNTY MENTAL HEALTH
City: SANTA BARBARA
State: CA
PostalCode: 931101002
CountryCode: US
TelephoneNumber: 8056815190
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/14/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPSY6742CAY Behavioral Health & Social Service ProvidersPsychologistClinical

ID Information
IDTypeStateIssuerDescription
PSY674201CAPSYCHOLOGISTOTHER


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