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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACQUELINE MICHELLE GAMBOA, PSY.D.

Active Sole Proprietor

DR. JACQUELINE MICHELLE GAMBOA, PSY.D. is a Clinical Psychologist healthcare provider located in SAN DIEGO, California. NPI 1083948046 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SAN DIEGO, CA

Registration Details

NPI Number
1083948046
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2009 (16.896579995555 yrs)
Last Updated
Jun 3, 2010
Licenses
PSY22784 (CA)
PSY22784 (CA)
PSY22784 (CA)
PSY22784 (CA)
PSY22784 (CA)
Sole Proprietor
Yes

Practice Information

Address
12625 HIGH BLUFF DR
SUITE 114
SAN DIEGO, CA, 921302052
Browse CA providers · Browse ZIP 92130
Phone
8584928445
Fax
8584928445
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Child, Clinical Psychologist
Additional Specialty
Family Psychologist

Other Clinical Psychologist Providers in SAN DIEGO, CA

Name Credential NPI
DR. JANET JAFFE PH.D. 1609879113
DR. DORIAN L POLSON PHD 1437159001
DR. ELIZABETH EARLE GREEN PHD 1013917368
DR. MICHELE YVETTE OSTER PSY.D. 1295735280
DR. ALAN LINCOLN PH.D. 1104819119
DR. DENISE LEE BUCHANAN PHD 1093709263
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.