Provider Demographics
NPI:1447207485
Name:CAMBIAS, RONALD D JR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:D
Last Name:CAMBIAS
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 CLEARY AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5778
Mailing Address - Country:US
Mailing Address - Phone:504-779-5270
Mailing Address - Fax:504-779-5271
Practice Address - Street 1:3108 CLEARY AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5778
Practice Address - Country:US
Practice Address - Phone:504-779-5270
Practice Address - Fax:504-779-5271
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA648103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1130419Medicaid