Provider Demographics
NPI:1154580470
Name:BUSBY, JULIA REBECCA (PSYD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:REBECCA
Last Name:BUSBY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 GRAND AVE
Mailing Address - Street 2:SUITE A16
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1808
Mailing Address - Country:US
Mailing Address - Phone:760-729-5900
Mailing Address - Fax:760-729-5901
Practice Address - Street 1:800 GRAND AVE
Practice Address - Street 2:SUITE A16
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1808
Practice Address - Country:US
Practice Address - Phone:760-729-5900
Practice Address - Fax:760-729-5901
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB33382103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical