Doctor Name: | RICHARD LEGASSICK, PH.D. |
NPI Number: | 1164576153 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | PSY 8262 |
Business Practice Address: | 1072 Casitas Pass Rd # 349 Carpinteria, CA - 930132109 |
Business Phone Number: | 8057469110 |
Business Fax Number: | |
Mailing Address: | 1072 Casitas Pass Rd # 349, CARPINTERIA |
State: | CA |
Postal Code: | 930132109 |
Phone Number: | 8057469110 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 8262 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |