Provider Demographics
NPI:1508074980
Name:CUNNINGHAM, BARBARA ROCHELLE (PSYD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ROCHELLE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11665 SIERRA CREST CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-2333
Mailing Address - Country:US
Mailing Address - Phone:858-693-1713
Mailing Address - Fax:
Practice Address - Street 1:2835 CAMINO DEL RIO S STE 120C
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3873
Practice Address - Country:US
Practice Address - Phone:619-990-6203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44053106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist