Individual provider · Type 1 NPI
Jacob J. Ambrose
Clinical Psychologist · San Diego, CA
Practice location
1110 24th St, Apt 8
San Diego, CA 92102
Fax (573) 503-0122
Mailing address
1110 24th Street, Apt 8
San Diego, CA 92102-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY34639 (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 1588149017
Jacob J. Ambrose's National Provider Identifier is 1588149017, issued on Oct 1, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Dec 23, 2024.