Provider Demographics
NPI:1043314321
Name:GAMBLE, NANCY CATHERINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CATHERINE
Last Name:GAMBLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 EAST 3RD
Mailing Address - Street 2:#B
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-743-5524
Mailing Address - Fax:760-747-5474
Practice Address - Street 1:135 EAST 3RD
Practice Address - Street 2:#B
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-743-5524
Practice Address - Fax:760-747-5474
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10449103T00000X
CAMFT22905106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist