Provider Demographics
NPI:1912522491
Name:LITSEY BUDDING, CAMBRIA (PHD, LP)
Entity Type:Individual
Prefix:DR
First Name:CAMBRIA
Middle Name:
Last Name:LITSEY BUDDING
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 WAYZATA BLVD # 1001
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-2007
Mailing Address - Country:US
Mailing Address - Phone:612-208-7006
Mailing Address - Fax:
Practice Address - Street 1:5608 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-5437
Practice Address - Country:US
Practice Address - Phone:612-208-7006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP6985103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling