Provider Demographics
NPI:1568618015
Name:GAMBOA, YOLANDA E (PHD)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:E
Last Name:GAMBOA
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 1:1600 HOLLOWAY AVENUE
Mailing Address - Street 2:STUDENT SERVICES BLDG. #208
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132
Mailing Address - Country:US
Mailing Address - Phone:415-338-2208
Mailing Address - Fax:
Practice Address - Street 1:1600 HOLLOWAY AVENUE
Practice Address - Street 2:STUDENT SERVICES BLDG. #208
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132
Practice Address - Country:US
Practice Address - Phone:415-338-2208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling