| Doctor Name: | DR. KURT GOERWITZ |
| NPI Number: | 1003822768 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PSY5295 |
| Business Practice Address: | 1215 De La Vina Street Suite D Santa Barbara, CA - 93101 |
| Business Phone Number: | 8059665165 |
| Business Fax Number: | 8059579612 |
| Mailing Address: | 1215 De La Vina Street, Suite D SANTA BARBARA |
| State: | CA |
| Postal Code: | 93101 |
| Phone Number: | 8059665165 |
| Fax Number: | 8059579612 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY5295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |