National Provider Identifier Database

JACQUELINE M GAMBOA, PSY.D. – NPI #1083948046
Clinical

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JACQUELINE M GAMBOA, PSY.D.
12625 HIGH BLUFF DR
SUITE 114
SAN DIEGO, CA92130-2052
Phone: 858-492-8445
Fax: 858-492-8445
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Addiction (Substance Use Disorder) 103TA0400X
Clinical Child & Adolescent 103TC2200X
Family 103TF0000X
Intellectual & Developmental Disabilities 103TM1800X

* Indicates primary specialty

NPI Profile & details for JACQUELINE M GAMBOA

NPI Number 1083948046
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 09/23/2009
Last updated 06/03/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: PSY22784
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JACQUELINE M GAMBOA, PSY.D.

There are currently no reviews for JACQUELINE M GAMBOA, PSY.D.


NPIdb - Home
v2.201