Kevin Dale Burchby, PSY.D.

NPI #1154811206 in La Jolla, California

Provider Information

NPI Number: 1154811206
Entity Type: Individual
Name: Kevin Dale Burchby, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: May 15, 2018
Last Updated: Oct 14, 2019

Practice Location

Address: 8950 VILLA LA JOLLA DR STE B204
City: La Jolla
State: California
ZIP Code: 92037-1705
Phone: (858) 215-2675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Psychologist	103T00000X	Primary

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