Doctor Name: | ROBERT DAVID WILLRODT |
NPI Number: | 1457544413 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 102 Hixon Rd Montecito, CA - 931082617 |
Business Phone Number: | 8059697787 |
Business Fax Number: | |
Mailing Address: | 16 W Mission St, Suite V SANTA BARBARA |
State: | CA |
Postal Code: | 931012426 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/23/2007 |
NPI Last Update Date: | 08/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |