Provider Demographics
NPI:1982750030
Name:CAMBRAY, JOSEPH (MS, PHD, NCPSYA)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:CAMBRAY
Suffix:
Gender:M
Credentials:MS, PHD, NCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 S ANGELL ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5206
Mailing Address - Country:US
Mailing Address - Phone:401-331-5820
Mailing Address - Fax:
Practice Address - Street 1:23 TEMPLE ST.
Practice Address - Street 2:UNIT 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-4228
Practice Address - Country:US
Practice Address - Phone:617-720-7835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA611101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0085OtherBCBS OF MA PROVIDER NUMBE