Dr. Jacqueline Michelle Gamboa
Family Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist Intellectual & Developmental Disabilities and 1 more
12625 High Bluff Dr Suite 114
San Diego
, California 92130-2052
Dr. Jacqueline Michelle Gamboa
Family Psychologist Clinical Psychologist Clinical Child & Adolescent Psychologist Intellectual & Developmental Disabilities and 1 more
12625 High Bluff Dr Suite 114
San Diego
, California 92130-2052
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- Dr. Jacqueline Michelle Gamboa
- Po Box 904
- La Jolla, CA
- Zip : 92038-0904
- Phone :
Second Address
- Dr. Jacqueline Michelle Gamboa
- 12625 High Bluff Dr Suite 114
- San Diego, CA
- Zip : 92130-2052
- Fax : (858) 492-8445
- Phone : (858) 492-8445
Reviews
FAQs
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Is Dr. Jacqueline Michelle Gamboa a sole practitioner?
Is Dr. Jacqueline Michelle Gamboa accepting new patients?
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Does Dr. Jacqueline Michelle Gamboa have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY22784 | CA |
| Y | 103G00000X | Clinical Psychologist | PSY22784 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY22784 | CA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY22784 | CA |
| N | 103TF0000X | Family Psychologist | PSY22784 | CA |
| N | 103TM1800X | Intellectual & Developmental Disabilities | PSY22784 | CA |
National Provider Identifier
| NPI | 1083948046 |
|---|---|
| Provider Name | Dr. Jacqueline Michelle Gamboa |
| First Address | La Jolla, CA 92038-0904 |
| Second Address | San Diego, CA 92130-2052 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2009 |
| Last Update Date | 03/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.