Gayle Lynnette Jensen in La Mesa - Psychologist
Gayle Lynnette Jensen - NPI 1083655328
Gayle Lynnette Jensen is a Psychologist in La Mesa, California. Gayle Lynnette Jensen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gayle Lynnette Jensen is 1083655328. The last update date is 2018-02-09.
Gayle Lynnette Jensen's current location address is 4323 Palm Ave Ste D, La Mesa, California. You can contact this provider via phone number 6199725320 and fax number 6194604019. The mailing address for Gayle Lynnette Jensen is 4323 Palm Ave Ste D, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gayle Lynnette Jensen |
|---|---|
| Address | 4323 Palm Ave Ste D, La Mesa, California |
| Phone Number | 6199725320 |
| Fax Number | 6194604019 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1083655328 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2018-02-09 |
Provider Mailing Address Detail
| Address | 4323 Palm Ave Ste D |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919416597 |
| Phone Number | 6199725320 |
| Fax Number | 6194604019 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY 20223 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0PL202230 | CA | BLUE SHIELD OF CALIFORNIA | |
| 0PL202230 | CA | TRICARE |
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What is the Gayle Lynnette Jensen's unique identification number?
The Gayle Lynnette Jensen has been assigned the NPI (National Provider Identifier) Number 1083655328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Gayle Lynnette Jensen located?
The Gayle Lynnette Jensen is located at 4323 Palm Ave Ste D, La Mesa, CA 919416597.
What is Gayle Lynnette Jensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gayle Lynnette Jensen's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Gayle Lynnette Jensen receive its 1083655328 assignment from the Centers for Medicare & Medicaid Services?
The Gayle Lynnette Jensen was assigned its 1083655328 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the Gayle Lynnette Jensen's details last updated?
The information pertaining to the Gayle Lynnette Jensen, including its address, specialty, and other details, was most recently updated on 2018-02-09.
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