Healthcare Provider Details

I. General information

NPI: 1063611507
Provider Name (Legal Business Name): CAMBRA FINCH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2007
Last Update Date: 07/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7911 HERSCHEL AVE SUITE 400
LA JOLLA CA
92037-0075
US

IV. Provider business mailing address

7911 HERSCHEL AVE SUITE 400
LA JOLLA CA
92037-0075
US

V. Phone/Fax

Practice location:
  • Phone: 858-492-8486
  • Fax: 858-492-8486
Mailing address:
  • Phone: 858-492-8486
  • Fax: 858-492-8486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPSY19212
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY19212
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY19212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: