Provider Demographics
NPI:1265828875
Name:SLUTZKY, CAITLIN YAEL (MA, MFT)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:YAEL
Last Name:SLUTZKY
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2429 BATH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-5337
Mailing Address - Country:US
Mailing Address - Phone:805-705-1924
Mailing Address - Fax:805-687-2442
Practice Address - Street 1:2429 BATH ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5337
Practice Address - Country:US
Practice Address - Phone:805-705-1924
Practice Address - Fax:805-687-2442
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist