Individual provider · Type 1 NPI

Jacqueline Michelle Gamboa, PSY.D.

Clinical Psychologist · San Diego, CA

NPI number 1083948046 Active

Practice location

12625 High Bluff Dr, Suite 114
San Diego, CA 92130-2052

Call (858) 492-8445 Map

Fax (858) 492-8445

Mailing address

PO Box 904
La Jolla, CA 92038-0904

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Psychologist	103TA0400X	PSY22784 (CA)
Clinical Psychologist Primary	103TC0700X	PSY22784 (CA)
Clinical Child & Adolescent Psychologist	103TC2200X	PSY22784 (CA)
Family Psychologist	103TF0000X	PSY22784 (CA)
Intellectual & Developmental Disabilities Psychologist	103TM1800X	PSY22784 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1083948046

Jacqueline Michelle Gamboa, PSY.D.'s National Provider Identifier is 1083948046, issued on Sep 23, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 3, 2010.