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1154811206
KEVIN DALE BURCHBY
LA JOLLA, CA
NPI
1154811206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 31247)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-05-15
Last Update Date
2019-10-14
Business Address
KEVIN DALE BURCHBY PSY.D.
8950 VILLA LA JOLLA DR STE B204
LA JOLLA, CA 92037-1705
Phone number: 858-215-2675
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Mailing Address
KEVIN DALE BURCHBY PSY.D.
PO BOX 910646
SAN DIEGO, CA 92191-0646
Phone number: 858-692-3685
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