Provider Demographics
NPI:1881146728
Name:CAMBO DIAZ, SEBASTIAN (PSYD, LP)
Entity type:Individual
Prefix:DR
First Name:SEBASTIAN
Middle Name:
Last Name:CAMBO DIAZ
Suffix:
Gender:M
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 N SCOTTSDALE RD STE A199
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3593
Mailing Address - Country:US
Mailing Address - Phone:702-805-5360
Mailing Address - Fax:
Practice Address - Street 1:7373 N SCOTTSDALE RD STE A199
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3593
Practice Address - Country:US
Practice Address - Phone:702-805-5360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5647103TC0700X
AZ005574103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical